Customer Satisfaction Survey 5
Are they satisfied with your service? Want to find out? Make use of our template to help yourself up!
Customer Service Forms
Please let us know about your experience with our products and service.
Which Stonegate Pharmacy location did you visit?
Stonegate Pharmacy (Austin-William Cannon)
Stonegate Pharmacy on Broadway (San Antonio)
Would you recommend it to your friends and colleagues?
How satisfied are you with our company overall?
Please evaluate the pharmacy staff:
Kindness and Helpfulness
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
What do you like best about our pharmacy?
What do you like least about our pharmacy?
Suggestions for improvement?
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:
Copyright 2018 JotForm Inc.