Provider Satisfaction Survey

Desert Life Pharmacy

The staff at Desert Life Pharmacy would like to take this opportunity to thank you for helping us provide excellent care for our patients. In an effort to ensure that we are also providing excellent service for our local providers, we welcome your input.

Question Title

* 1. Which best describes your practice type?

Dermatology

Neurology

Rheumatology

Allergy/Immunology

Oncology

Gastroenterology

Infectious Disease

Other

Question Title

* 2. How satisfied are you with our promptness?

Very satisfied

Satisfied

Neither satisfied nor dissatisfied

Dissatisfied

Very dissatisfied

Question Title

* 3. How satisfied are you with our courtesy?

Very satisfied

Satisfied

Neither satisfied nor dissatisfied

Dissatisfied

Very dissatisfied

Question Title

* 4. How satisfied are you with our efficiency?

Very satisfied

Satisfied

Neither satisfied nor dissatisfied

Dissatisfied

Very dissatisfied

Question Title

* 5. How satisfied are you with our expertise?

Very satisfied

Satisfied

Neither satisfied nor dissatisfied

Dissatisfied

Very dissatisfied

Question Title

* 6. How satisfied are you with our enthusiasm?

Very satisfied

Satisfied

Neither satisfied nor dissatisfied

Dissatisfied

Very dissatisfied

Question Title

* 7. How likely are you to use Desert Life Pharmacy again?

Very likely

Likely

Neither likely nor unlikely

Unlikely

Very unlikely

Question Title

* 8. Please share any other comments you have below:

Question Title

* 9. Feel free to leave your contact information below if you would like a call back

Name

Company

Phone Number