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.
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
2.
How knowledgeable was the customer representative who assisted you?
Extremely knowledgeable
Very knowledgeable
Somewhat knowledgeable
Not so knowledgeable
Not at all knowledgeable
3.
Overall, how satisfied are you with Manifest Pharmacy?
Extremely satisfied
Very satisfied
Somewhat satisfied
Not so satisfied
Not satisfied at all
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
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
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
7.
How likely are you to use our pharmacy again?
Extremely likely
Very likely
Somewhat likely
Not so likely
Not at all likely
8.
Which of the following best describes you?
Patient or Caregiver
Provider or Provider office staff
Other