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Why do you use your current pharmacy?
 
Location
 
Hours of operation
 
Products/Services offered other than health related items
 
Customer Reward Plan
 
Dispensing Fee
 
Exceptional Customer Service
 
Other
 
 
 
Your pharmacy is nearest to:
 
Your home
 
Your workplace
 
Your doctor's office
 
 
 
How long have you been a customer at your current pharmacy?
 
1-2 years
 
3-4 years
 
5-6 years
 
7-8 years
 
9-10 years
 
11-12 years
 
13-14 years
 
15-16 years
 
 
 
How often do you visit your pharmacy for prescriptions or health services?
 
Weekly
 
Monthly
 
Four times a year
 
Less than four times a year
 
 
 
How often do you visit your pharmacy for products not related to health?
 
Weekly
 
Monthly
 
Four times a year
 
Less than four times a year
 
 
 
Are employees at your pharmacy personable and approachable?
 
Yes
 
No
 
 
 
Are Pharmacy staff easily accessible by phone? Y/N By person? Y/N
 
Yes
 
No
 
Yes
 
No
 
 
 
Does your pharmacy offer an automated refill service (telephone or internet)?
 
Yes
 
No
 
 
 
Does your pharmacy offer delivery service?
 
Yes
 
No
 
 
 
Are you satisfied with the hours of operation?
 
Yes
 
No
 
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