Patient Feedback and Satisfaction

As a new patient, we NEED YOUR FEEDBACK!!!
Please take a moment to complete this survey.  You will be able to print out a $5.00 Gift Certificate for Moundsville Pharmacy!

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* 1. Do you think you were greeted in a timely manner?

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* 2. Please rate your Moundsville Pharmacy EXPERIENCE?

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* 3. Were you offered to speak to a Pharmacist?

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* 4. What prompted your visit to the pharmacy?

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* 5. Would you recommend Moundsville Pharmacy to your friends & family?

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* 6. Is there someone else in your household that could benefit from our services?

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* 7. Is there anything we could have done to improve your last visit?

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* 8. If you answered "Yes" to the above question, how could we have improved your experience?

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* 9. Please enter your Email Address if you would like pharmacy updates & information.

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Print out this coupon for $20.00 off any Over-The-Counter or Retail Items.
Present this coupon to the staff at the pharmacy.
LIMIT ONE TIME USE PER CUSTOMER ONLY!
Cannot be combined with any other offer or coupon   
No Cash Value - No Cash Back

<div style="text-align: center;"><span style="text-decoration: underline;"><strong>Print out this coupon for $20.00 off any Over-The-Counter or Retail Items.<br>Present this coupon to the staff at the pharmacy.<br>LIMIT ONE TIME USE PER CUSTOMER ONLY!<br>Cannot be combined with any other offer or coupon</strong></span><strong>    <br></strong><span style="text-decoration: underline; color: #ff0000;"><strong>No</strong><strong> Cash Value - No Cash Back</strong></span></div>

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