Exit Customer Satisfaction Survey 1. Customer Satisfaction Survey Thank you for taking the time to give us valuable feedback that can help us serve you better! Question Title 1. What makes you choose Chet Johnson Drug for your pharmacy and healthcare needs? (choose all that apply) Exceptional Service Location (close to home or work) Convenient Business Hours Personalized Service Price Other (please specify) Question Title 2. What PRODUCTS or SERVICES are you looking for that we don't currently have at Chet's? Question Title 3. Are there any departments or products you would like to see expanded at Chet's? Yes No If "Yes" please tell us what you would like to see expanded: Question Title 4. Are you currently using Chet Johnson Drug for your prescription business? Yes No If you answered "No", please tell us why not. Question Title 5. Are you aware of all the healthcare services that we provide at Chet Johnson Drug? Yes No Same-day prescription refills Same-day prescription refills Yes Same-day prescription refills No On-line ordering of prescription refills On-line ordering of prescription refills Yes On-line ordering of prescription refills No Local prescription delivery Local prescription delivery Yes Local prescription delivery No Flavoring of any liquid medicine Flavoring of any liquid medicine Yes Flavoring of any liquid medicine No Acceptance of most major prescription plans, including Medicare & Medicaid Acceptance of most major prescription plans, including Medicare & Medicaid Yes Acceptance of most major prescription plans, including Medicare & Medicaid No Blood Pressure Monitoring Blood Pressure Monitoring Yes Blood Pressure Monitoring No Medication Synchronization Medication Synchronization Yes Medication Synchronization No Bubble Packs, Medication Trays, and Locked Medication Dispensers Bubble Packs, Medication Trays, and Locked Medication Dispensers Yes Bubble Packs, Medication Trays, and Locked Medication Dispensers No Immunizations Immunizations Yes Immunizations No Comprehensive Medication Reviews Comprehensive Medication Reviews Yes Comprehensive Medication Reviews No Question Title 6. How would you rank Chet's staff on the following: Exceptional Good Average Needs Improvement Poor N/A Pharmacy Staff - Friendliness Pharmacy Staff - Friendliness Exceptional Pharmacy Staff - Friendliness Good Pharmacy Staff - Friendliness Average Pharmacy Staff - Friendliness Needs Improvement Pharmacy Staff - Friendliness Poor Pharmacy Staff - Friendliness N/A Pharmacy Staff - Knowledgeable Pharmacy Staff - Knowledgeable Exceptional Pharmacy Staff - Knowledgeable Good Pharmacy Staff - Knowledgeable Average Pharmacy Staff - Knowledgeable Needs Improvement Pharmacy Staff - Knowledgeable Poor Pharmacy Staff - Knowledgeable N/A Pharmacy Staff - Willingness to Answer Questions Pharmacy Staff - Willingness to Answer Questions Exceptional Pharmacy Staff - Willingness to Answer Questions Good Pharmacy Staff - Willingness to Answer Questions Average Pharmacy Staff - Willingness to Answer Questions Needs Improvement Pharmacy Staff - Willingness to Answer Questions Poor Pharmacy Staff - Willingness to Answer Questions N/A Retail Staff - Friendliness Retail Staff - Friendliness Exceptional Retail Staff - Friendliness Good Retail Staff - Friendliness Average Retail Staff - Friendliness Needs Improvement Retail Staff - Friendliness Poor Retail Staff - Friendliness N/A Retail Staff - Knowledgeable Retail Staff - Knowledgeable Exceptional Retail Staff - Knowledgeable Good Retail Staff - Knowledgeable Average Retail Staff - Knowledgeable Needs Improvement Retail Staff - Knowledgeable Poor Retail Staff - Knowledgeable N/A Retail Staff - Willingness to Offer Assistance Retail Staff - Willingness to Offer Assistance Exceptional Retail Staff - Willingness to Offer Assistance Good Retail Staff - Willingness to Offer Assistance Average Retail Staff - Willingness to Offer Assistance Needs Improvement Retail Staff - Willingness to Offer Assistance Poor Retail Staff - Willingness to Offer Assistance N/A Please tell us any specific comments you have regarding our staff. Question Title 7. Does our marketing and advertising influence or motivate you to shop at Chet's? Yes No If "Yes", what type of advertising do you notice? (newspaper, e-mail, radio, in-store, advertiser) Question Title 8. Thank you for taking the time to complete this survey. Your responses are very valuable to us as we try to improve the services and products we offer to our customers.Please take a moment to give us your comments as to how we could improve our services. Question Title 9. Would you be willing to offer a testimonial for us to use in our advertising? If so, please offer it here: Question Title 10. Optional: Please give us your name, telephone number and/or email to follow up. Done