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* 1. Full Name

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* 2. Your Company's Name

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* 3. Your Email Address

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* 4. Select Your Role

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* 5. Enter a JA# (if applicable, as provided by Rx-360)

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* 6. For Auditees: How would you rate your auditor - from one-ten stars, with ten representing a "perfect" experience?

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* 7. How likely is it that you would recommend the Rx-360 Joint Audit Program to a friend or colleague?

Not at all likely
Extremely likely

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* 8. What changes would Rx-360 have to make for you to give it an even higher rating?

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* 9. What does Rx-360 do really well?

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* 10. How would you rate your customer experience working with Rx-360 - from one-ten stars, with 10 representing a "perfect" experience?

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* 11. If you would like to identify an Rx-360 employee, please do so here and indicate your reason for naming them.

T