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* 1. How likely is it that you would recommend Casey's Prescription Pad to a friend or colleague?

NOT AT ALL LIKELY
EXTREMELY LIKELY

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* 2. Overall, how satisfied or dissatisfied are you with Casey's?

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* 3. Which of the following words would you use to describe our products and services? Select all that apply.

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* 4. How well do our products and services meet your needs?

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* 5. How would you rate the quality of the service you received?

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* 6. How responsive have we been to your questions or concerns about our products and services?

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* 7. How long have you been a customer of Casey's Prescription Pad?

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

T