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SERVICES
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MEDICATION
PRESCRIPTIONS
COMPOUNDING
PRODUCTS
PROVIDERS
FEEDBACK
ABOUT
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SERVICES
WELLNESS CENTER
MEDICATION
PRESCRIPTIONS
COMPOUNDING
PRODUCTS
PROVIDERS
FEEDBACK
ABOUT
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Feedback Form
Name
*
Email
*
Date Of Service
*
(EX: MM /DD /YYYY)
Phone Number
*
How did you hear about Starcare Pharmacy or our affiliate Pharmacies ?
*
How long have you been our customer?
First Time
< 3 Month
1 Year
2 Year
3 Year
How would you rate the overall service that you received at pharmacy?
Very Poor
Poor
Ok
Good
Very Good
When you entered the pharmacy, how satisfied are you of courtesy and friendliness of our team?
Very Poor
Poor
Ok
Good
Very Good
How likely are you to recommend our pharmacy to your friends and family?
Very Poor
Poor
Ok
Good
Very Good
How satisfied are you with your prescription filled in an timely manner (within 15 minutes or less)?
Very Poor
Poor
Ok
Good
Very Good
How satisfied are you with cleanliness and professionalism of Pharmacy?
Very Poor
Poor
Ok
Good
Very Good
Areas to improve or additional comments or suggestions.
Suggestion on Products or services that can be offered to better serve you.