Customer Survey Name (Optional) First Name Were you greeted and attended immediately after you entered our pharmacy? Yes No Were the staff friendly, helpful, and knowledgeable? Yes No Were your transactions completed quickly and accurately? Yes No Is the shopping environment clean and attractive? Yes No How likely are you to recommend this pharmacy to others? Not At All Unlikely Not Applicable Likely Very Likely How would you rate our service overall? 1 2 3 4 5 What additional service/products would you like to see offered? (Optional) Why do you shop at this pharmacy? (Optional) What do you like most about this pharmacy? (Optional) Do you have any other comments? Do you want a manager from the company to contact you? If so, please give email/phone number. (Optional) CAPTCHA Name This field is for validation purposes and should be left unchanged.