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* 1. What is your full name?

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* 2. How would you rate our customer service phone staff?

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* 3. If applicable, did your delivery arrive on time?

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* 4. If applicable, your order(s) are complete when you received it/them?

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* 5. Our delivery staff is/was respectful of your home and belongings?

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* 6. We were able to supply al of the products/services you need?

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* 7. If applicable, our driver left you with clear written instructions of how to use your equipment and how to reach our office during business hours and beyond?

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* 8. You are aware of all of the products and services we provide?

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* 9. How long have you been a customer of Burke's Pharmacy?

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* 10. What advice would you like to provide to help improve our performance?

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