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* 1. Which SSM Health Pharmacy or Prescription center are you providing feedback about? (Choose one of the following)

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* 2. In general, are your prescriptions filled in a timely manner at this location?

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* 3. Was the information the pharmacist discussed with you easy to understand?

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* 4. Promptness of greeting.

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* 5. Courtesy of our staff.

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* 6. Comments:

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