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* 1. How likely are you to recommend our pharmacy to family and friends on a scale of 0 to 10 with zero being "Not likely at all" and 10 being "Extremely likely"?

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* 2. How satisfied were you with the education provided about your medication?

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* 3. How satisfied were you with the education and counseling provided about your health condition or problem?

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* 4. How satisfied were you with our pharmacy staff to quickly answer your questions and/or resolve any issues?

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* 5. How satisfied were you with the condition and accuracy of your filled prescriptions?

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* 6. How satisfied were you with the speed at which your medication was delivered?

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* 7. How often were you able to talk to our pharmacy staff about your health or your filled prescriptions?

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* 8. Do you want to provide any additional comments or suggestions?

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