EagleTrax Customer Portal - User Feedback Survey

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* 1. Please rate your overall experience with the EagleTrax Customer Portal

Dissatisfied

Somewhat Dissatisfied

Satisfied

Somewhat Satisfied

Highly Satisfied

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* 2. Please provide additional details on your rating above.

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* 3. Any suggestions or changes you recommend that will improve EagleTrax?

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* 4. Would you like us to contact you in response to your feedback? If so, please provide your name, pharmacy, and contact details below