2018 - 2019

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* 1. Please rate our pharmacist consultation

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* 2. Customer service

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* 3. Waiting time

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* 4. Phone calls answered promptly

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* 5. Retail selection

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* 6. Delivery Service

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* 7. Facebook page

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* 8. Wellness screenings

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* 9. What method do you use when requesting a refill?

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* 10. Would you like to receive emails and/or text messages from Northside
Pharmacy?

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* 11. If yes, please provide your contact information below.

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* 12. Which Northside Pharmacy location do you most frequently visit? 

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* 13. Overall, are you satisfied with Northside Pharmacy?

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* 14. Tell us about you

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* 15. Zip Code

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* 16. Age

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* 17. Please provide any other comments that you may have.

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* 18. Register for an iPad giveaway by providing your phone number.

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