Customer Satisfaction Survey

Customer Satisfaction Survey

Are they satisfied with your service? Want to find out? Make use of our template to help yourself up! Form Preview
  • Survey

    Please let us know about your experience with our products and service.
  •   Don’t Know Poor Fair Good Great
    Service Quality
    Responsiveness
    Kindness and Helpfulness
    Friendliness/politeness
    Answers the phone/returns phone calls
    Fills your prescriptions on time
    Maintains your privacy
    Answers your questions
    Provides advice on medications and healthcare services
    Counsels you on your new prescription medications
    Overall customer service
    Likelihood of you referring us to a friend or family member
  • Please leave your email address if you would like us to contact you regarding any questions.
  • Thank you for completing our survey.
  • Should be Empty: