Customer Satisfaction Survey Question Title * 1. How often do you use Stark Pharmacy? 1 to 5 times per year 5 to 10 times per year More than 10 times per year OK Question Title * 2. It was easy to contact the Stark Pharmacy staff. Agree Neutral Disagree OK Question Title * 3. Stark Pharmacy staff was caring and helpful. Agree Neutral Disagree OK Question Title * 4. Stark Pharmacy staff took time to listen to my questions and answered them clearly. Agree Neutral Disagree OK Question Title * 5. How would you rate the quality of your prescriptions? Excellent Good Fair Poor OK Question Title * 6. Type of Service Used: Check all that apply Retail Compounding Vaccinations Home Delivery or Mail Other (please specify) OK Question Title * 7. How do you prefer to fill/refill your prescriptions? Online/App In-Person Phone No Preference OK Question Title * 8. Overall, I was satisfied with the services I received from Stark Pharmacy. Agree Neutral Disagree OK Question Title * 9. Is there anything we can improve in order to better meet your needs? OK Question Title * 10. If you would like someone in management to discuss any comments or concerns provided in Question 9, please provide your contact information and we will respond in a timely manner. Thank you for taking the time to provide us with your valuable feedback. Name Email Address Phone Number OK SUBMIT