* 1. The medication(s), equipment and/or supplies were delivered on time:

* 2. The medication(s), equipment and/or supplies were dispensed accurately:

* 3. The trainings, educational materials and consultations were effective in educating me or my caregiver on my therapy:

* 4. The Infiniti Pharmacy Staff was courteous and helpful:

* 5. The financial responsibilities about my bill were explained to me:

* 6. I receive advice or help when needed during pharmacy business hours:

* 7. The services and supplies offered by Infiniti Pharmacy made a positive impact on the outcome of my therapy:

* 8. Infiniti Pharmacy's Disease Treatment Clinical Care Programs (optional) improved the outcome of my therapy:

* 9. I would recommend Infiniti Pharmacy to my friends and family:

* 10. Please give us suggestions on how to improve our services. 
If you have any complaints or concerns with our service, please let us know:

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