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how did you find out about us?
 
we contacted you by phone
 
website/internet
 
word of mouth
 
Other
 

 
 
 
how did you contact us
 
phone
 
email
 
fax
 
website
 
Other
 

 
 
 
how would you rate our communication?
 
very satisfying
 
satisfying
 
neutral
 
poor satisfying
 
not satisfied at all

 
 
 
on a scale of 1 to 5 (5 being the best satisfaction, 1 being poor) how satisfied were you with the relief service?
 
1
 
2
 
3
 
4
 
5

 
 
 
using the same scale, how would you rate the pharmacists performance in punctuality?
 
1
 
2
 
3
 
4
 
5
 
 
 
using the same scale, how would you rate the pharmacists performance in professionalism
 
1
 
2
 
3
 
4
 
5
 
 
 
using the same scale, how would you rate the pharmacists performance in customer service
 
1
 
2
 
3
 
4
 
5
 
 
 
using the same scale, how would you rate the pharmacists performance in system knowledge
 
1
 
2
 
3
 
4
 
5
 
 
 
Is this your first time using PRCA?
 
YES
 
NO
 
 
 
Overall how would you rate our service? (on a scale from 1 to 5 where 5 is the best and 1 is poor)
 
1
 
2
 
3
 
4
 
5
 
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