We want to hear from you!

Thank you for taking the time to complete this survey. Your feedback is important to us, and will be used to improve the EmblemHealth Pharmacy's services and products.

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* 1. Please indicate your gender.

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* 2. Please indicate your age group.

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* 3. Please provide your zip code.

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* 4. Please select the EmblemHealth Pharmacy location that you use.

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* 5. How often do you use the EmblemHealth Pharmacy to fill your prescriptions?

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* 6. Why have you decided to use the EmblemHealth Pharmacy? (Please select all that apply).

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* 7. How would you rate your overall satisfaction with the EmblemHealth Pharmacy?

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* 8. How likely is it that you would recommend EmblemHealth Pharmacy to a friend or family member?

Not at all likely
Extremely likely

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* 9. What additional products or services would you like the EmblemHealth Pharmacy to provide for you?

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* 10. Please provide additional feedback on the EmblemHealth Pharmacy below.

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