Exit Patient Questionarre Question Title * 1. 1. How often do you visit Liberty Market Pharmacy? Daily Weekly Monthly Every few months Question Title * 2. 2. What is your primary reason for visiting Liberty Market Pharmacy? (Select all that apply) Prescription medication Over-the-counter medication Health and wellness products Convenience Cost Other (please specify) Question Title * 3. What additional products or services would you like to see Liberty Market Pharmacy offer Question Title * 4. Would you be interested in Liberty Market Pharmacy offering online ordering and delivery options? Yes No Question Title * 5. Would you be interested in signing up for our Auto-Refill program (your prescriptions will automatically be refilled when they are due) Yes No Question Title * 6. If you are experiencing symptoms of a minor ailment such as UTI, rash, injury or sprain, allergies etc, how likely are you to go to the pharmacist for a prescription rather than a walk in clinic or waiting for an appointment at your doctors office? Very likely Likely Neutral Unlikely Very unlikely Question Title * 7. How likely would you be to pay for the following uninsured services (no appointment necessary):Injection administration for $25Prescription renewals and extensions if your Dr. is unavailable for $15-$20Have your pills cut for you for $5 Likely Neutral Unlikely Very Unlikely Question Title * 8. Would you be interested in signing up for our Text alerts to let you know when your prescriptions are ready for pickup? Yes No Question Title * 9. How important is it for Liberty Market Pharmacy to offer personalized services, such as medication consultations and Pharmaco-Genetic testing? Extremely important Very important Somewhat important Not so important Not at all important Question Title * 10. How satisfied are you with the customer service at Liberty Market Pharmacy and how likely are you to recommend it to others? Very satisfied and Very likely to recommend Satisfied, likely to recommend Somewhat satisfied, somewhat likely to recommend Neutral Somewhat dissatisfied, unlikely to recommend Dissatisfied, very unlikely to recommend Very dissatisfied, very unlikely to recommend Done