Patient Experience (Feedback)

Patient Experience

To help National Custom Compounding improve our Patient Experience, we appreciate your feedback in this survey. We thank you for taking the time to complete this survey.

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* 1. How likely is it that you would recommend National Custom Compounding to a friend or colleague?

Not at all likely

Extremely likely

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* 2. Have you used a Compounding Pharmacy before?

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* 3. During your most recent visit, did our Customer Service Team and Pharmacist's listen carefully to you?

Yes, definitely

Yes, somewhat

N/A

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* 4. During your most recent visit, did our Customer Service Team and Pharmacist's explain things in a way that was easy to understand?

Yes, definitely

Yes, somewhat

N/A

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* 5. Have you used the compounded product from National Custom Compounding before?

Yes

Unsure

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* 6. How did you find the compounded product?

Great

Good

Not Sure, first time using it

Poor

Other (please specify)

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* 7. How long has it been since your most recent visit with National Custom Compounding?

Less than 1 month

At least 1 months but less than 6 months

At least 6 months but less than 12 months

12 months or more

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

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* 9. Would you like to hear from one of our NCC Team? Please complete the details below and we will contact you.

Name

Email Address

Phone Number