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* 1. How satisfied are you with our customer service?

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* 2. Courtesy of pharmacy technician staff?

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* 3. Courtesy of pharmacy drivers?

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* 4. Does the pharmacy follow up on response to concerns and/or complaints?

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* 5. Is the pharmacist available to answer your questions or concerns?

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* 6. Courtesy of pharmacist?

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* 7. Overall satisfaction with pharmacy?

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* 8. How can Northside Pharmacy better serve you?

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* 10. Name (optional) if you would like feedback

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