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* 1. What location are reviewing today?

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* 2. How likely is it that you would recommend Express Pharmacy to a friend or colleague?

NOT AT ALL LIKELY
EXTREMELY LIKELY

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* 3. Overall, how satisfied or dissatisfied are you with Express Pharmacy?

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* 4. Which of the following words would you use to describe our services? Select all that apply.

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* 5. Which of the following services that we provide meet your needs?

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* 6. How would you rate the quality of our customer service?

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* 7. How long have you been a customer of Express Pharmacy?

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* 8. How likely are you to visit our pharmacy again?

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* 9. Do you have any other comments, questions, or concerns?

T