Pharmacist's Advice

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* 1. Pharmacist's Advice

Courteous, helpful staff

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* 2. Courteous, helpful staff

Waiting time

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* 3. Waiting time

Store appearance

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* 4. Store appearance

Phone call answered promptly

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* 5. Phone call answered promptly

Please rate our Website

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* 6. Please rate our Website

Please rate our Facebook page

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* 7. Please rate our Facebook page

Overall are you satisfied with Northside Pharmacy?

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* 8. Overall are you satisfied with Northside Pharmacy?

Tell us about you

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* 9. Tell us about you

Age

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* 10. Age

Which Northside Pharmacy do you most frequently visit?

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* 11. Which Northside Pharmacy do you most frequently visit?

Comments and/or Services/Products that you would like to see added

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* 12. Comments and/or Services/Products that you would like to see added

May we share your comments in our marketing efforts?

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* 13. May we share your comments in our marketing efforts?

If yes, may we use your name?

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* 14. If yes, may we use your name?

Would you like to receive emails from Northside Pharmacies about upcoming sales, wellness events and other health programs?

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* 15. Would you like to receive emails from Northside Pharmacies about upcoming sales, wellness events and other health programs?

Would you like to receive text messages about upcoming Northside Pharmacy events? (Standard text messaging rates may apply)

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* 16. Would you like to receive text messages about upcoming Northside Pharmacy events? (Standard text messaging rates may apply)

Register for iPad giveaway. Provide phone number below:

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* 17. Register for iPad giveaway. Provide phone number below:

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