Manifest Pharmacy Survey Thank you for agreeing to participate in our patient satisfaction survey. We value your feedback and strive to continually provide optimal services to all of our patients. Question Title * 1. How well did our customer service representative answer your question or solve your problem? A great deal A lot A moderate amount A little None at all Question Title * 2. How knowledgeable was the customer representative who assisted you? Extremely knowledgeable Very knowledgeable Somewhat knowledgeable Not so knowledgeable Not at all knowledgeable Question Title * 3. Overall, how satisfied are you with Manifest Pharmacy? Extremely satisfied Very satisfied Somewhat satisfied Not so satisfied Not satisfied at all Question Title * 4. Which of the following products have you purchased from Manifest Pharmacy? (Please select all that apply.) Medication Bowel Prep Kit None of the above Question Title * 5. How would you rate the quality of the product? Very high quality High quality Neither high nor low quality Low quality Very low quality Question Title * 6. How responsive have we been to your questions or concerns? Extremely responsive Very responsive Somewhat responsive Not so responsive Not at all responsive Not applicable Question Title * 7. How likely are you to use our pharmacy again? Extremely likely Very likely Somewhat likely Not so likely Not at all likely Question Title * 8. Which of the following best describes you? Patient or Caregiver Provider or Provider office staff Other Done