To enter our competition please fill in your contact details below. This information will not be used for any other purpose.

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* 1. To enter our competition please fill in your contact details below. This information will not be used for any other purpose.

Please select your gender and age

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* 2. Please select your gender and age

What was the main purpose of your visit?

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* 3. What was the main purpose of your visit?

How do you think we could improve our services? Please tell us in your own words.

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* 5. How do you think we could improve our services? Please tell us in your own words.

                                                                       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.

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