Customer Survey Question Title * 1. To enter our competition please fill in your contact details below. This information will not be used for any other purpose. First Name * Last Name * Code Number from your card * Email Address OK Question Title * 2. Please select your gender and age Female Male Under 18 18 - 30 31 - 55 56 - 75 75 and over OK Question Title * 3. What was the main purpose of your visit? Visited for my Prescription. Visited for Pharmacy items (i.e. Non-Prescription Medicines, Vitamins, First Aid). Visited for Healthcare Advice. Visited for Beauty, Skincare and Toiletries. OK Question Title * 4. Rate your satisfaction of your experience today:Please rate: 5- Excellent 1-Worst. Rate The friendliness and courtesy of staff members? 5 4 3 2 1 The friendliness and courtesy of staff members? Rate menu The ease of locating the items you were looking for? 5 4 3 2 1 The ease of locating the items you were looking for? Rate menu The range of items? 5 4 3 2 1 The range of items? Rate menu Value for money? 5 4 3 2 1 Value for money? Rate menu The staff knowledge and communication? 5 4 3 2 1 The staff knowledge and communication? Rate menu How efficient were the staff to you today? 5 4 3 2 1 How efficient were the staff to you today? Rate menu The cleanliness of the store? 5 4 3 2 1 The cleanliness of the store? Rate menu How likely are you to return to this Pharmacy? 5 4 3 2 1 How likely are you to return to this Pharmacy? Rate menu How likely are you to recommend this Pharmacy to a friend or family member? 5 4 3 2 1 How likely are you to recommend this Pharmacy to a friend or family member? Rate menu Overall, how would you rate the services rendered in the Pharmacy? 5 4 3 2 1 Overall, how would you rate the services rendered in the Pharmacy? Rate menu OK Question Title * 5. How do you think we could improve our services? Please tell us in your own words. OK Thank you for your feedback.You are now entered into our draw for iPad Mini. We wish you the very best of luck, and we shall notify you if you are our lucky winner. We hope to see you in one of our totalhealth Pharmacies very soon.T&C's OK DONE