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* 1. How long have you been a customer of Stark Pharmacy?

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* 2. During your visit, how was the staff when it came to being polite and helpful.

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* 3. During your visit, how would you rate the staff being knowledgeable about the medication you received.

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* 4. Which of the following words would you use to describe our customer service? (Mark all that apply)

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* 5. How would you rate the quality of the product you received.

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* 6. How responsive have we been to your questions or concerns?

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* 7. How likely is it that you would recommend Stark Pharmacy to a friend or colleague?

NOT AT ALL LIKELY
EXTREMELY LIKELY

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* 8. How likely are you to visit Stark Pharmacy again?

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* 9. Overall, how satisfied or dissatisfied are you with Stark Pharmacy?

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

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* 11. If you have any questions or comments in Question 10 that require a response, please provide us contact information and we will respond in a timely manner. (Optional)

T