* 1. How satisfied are you with your service at the Reach Out Pharmacy?

* 2. I would recommend Reach Out for those in need of medical services.

* 3. Reach Out Clinics are available at convenient hours for my needs.

* 4. I prefer to be contacted by:

* 5. I always keep appointments (examples: x-ray's, labs, specialist visits).

* 6. If you were unable to keep your appointment, did you cancel your appointment with the specialist or Reach Out?

* 7. What would keep you from going to a specialist that Reach Out referred you to?

* 8. What can Reach Out do to help you keep and attend a scheduled appointment?

* 9. How do you rate Reach Out's customer service (volunteer/staff)?

* 10. Do you have have problems with transportation?

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