Please rate your overall satisfaction with our pharmacy for each of the following questions:

JTJ Medical Supply d.b.a Mail-Meds Clinical Pharmacy/Bliss values your business partnership and is committed to ensuring that we provide the highest quality services to you and your patients.  In order to help us continue to improve, please provide us your honest feedback below.  Thank you for taking the time to share your valuable input.  

Survey completed for:

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* 1. Survey completed for:

Overall, how satisfied are you with the helpfulness of pharmacy staff?

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* 2. Overall, how satisfied are you with the helpfulness of pharmacy staff?

Overall, how satisfied are you with the pharmacy's ability to provide needed information/reports?

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* 3. Overall, how satisfied are you with the pharmacy's ability to provide needed information/reports?

How satisfied are you with the consistency of services provided?

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* 4. How satisfied are you with the consistency of services provided?

How satisfied are you with the clinical knowledge of our pharmacists?

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* 5. How satisfied are you with the clinical knowledge of our pharmacists?

Following plans's formulary?

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* 6. Following plans's formulary?

Considering everything, how satisfied are you with your overall experience? 

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* 7. Considering everything, how satisfied are you with your overall experience? 

Please indicate your response: There is value in the Services Mail-Meds Clinical Pharmacy/Bliss provides to our patients.

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* 8. Please indicate your response: There is value in the Services Mail-Meds Clinical Pharmacy/Bliss provides to our patients.

Please indicate your response: The services delivered by Mail-Meds Clinical Pharmacy/Bliss provide value to our organization.

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* 9. Please indicate your response: The services delivered by Mail-Meds Clinical Pharmacy/Bliss provide value to our organization.

Please indicate your response: I would recommend Mail-Meds Clinical Pharmacy/Bliss.

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* 10. Please indicate your response: I would recommend Mail-Meds Clinical Pharmacy/Bliss.

Please Provide your opinion: How does Mail-Meds Clinical Pharmacy/Bliss compare to other pharmacies you are contracted with?

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* 11. Please Provide your opinion: How does Mail-Meds Clinical Pharmacy/Bliss compare to other pharmacies you are contracted with?

What could Mail-Meds Clinical Pharmacy/Bliss do to better assist you in regards to managing specialty medications?

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* 12. What could Mail-Meds Clinical Pharmacy/Bliss do to better assist you in regards to managing specialty medications?

Are you a Payer or Provider? 

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* 13. Are you a Payer or Provider? 

Comments (Optional)

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* 14. Comments (Optional)

Name (Optional)

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* 15. Name (Optional)

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