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Big Country Patient Satisfaction Survey
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7
Questions
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HIPAA
Compliance
1
I was contacted by claRx Big Country Dermatology Pharmacy in a timely manner. If you contacted the pharmacy, please select N/A.
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This field is required.
highly dissatisfied
dissatisfied
neither dissatisfied nor satisfied
satisfied
highly satisfied
N/A
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Row 0, Column 5
highly dissatisfied
Row 0, Column 0
dissatisfied
Row 0, Column 1
neither dissatisfied nor satisfied
Row 0, Column 2
satisfied
Row 0, Column 3
highly satisfied
Row 0, Column 4
N/A
Row 0, Column 5
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2
My phone call to claRx Big Country Dermatology Pharmacy was answered in a timely manner. If the pharmacy contacted you, please select N/A
*
This field is required.
highly dissatisfied
dissatisfied
neither dissatisfied nor satisfied
satisfied
highly satisfied
N/A
Row 0, Column 0
Row 0, Column 1
Row 0, Column 2
Row 0, Column 3
Row 0, Column 4
Row 0, Column 5
highly dissatisfied
Row 0, Column 0
dissatisfied
Row 0, Column 1
neither dissatisfied nor satisfied
Row 0, Column 2
satisfied
Row 0, Column 3
highly satisfied
Row 0, Column 4
N/A
Row 0, Column 5
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3
The staff was polite and courteous.
*
This field is required.
highly dissatisfied
dissatisfied
neither dissatisfied nor satisfied
satisfied
highly satisfied
Row 0, Column 0
Row 0, Column 1
Row 0, Column 2
Row 0, Column 3
Row 0, Column 4
highly dissatisfied
Row 0, Column 0
dissatisfied
Row 0, Column 1
neither dissatisfied nor satisfied
Row 0, Column 2
satisfied
Row 0, Column 3
highly satisfied
Row 0, Column 4
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4
My medication(s) arrived in a timely manner.
*
This field is required.
highly dissatisfied
dissatisfied
neither dissatisfied nor satisfied
satisfied
highly satisfied
Row 0, Column 0
Row 0, Column 1
Row 0, Column 2
Row 0, Column 3
Row 0, Column 4
highly dissatisfied
Row 0, Column 0
dissatisfied
Row 0, Column 1
neither dissatisfied nor satisfied
Row 0, Column 2
satisfied
Row 0, Column 3
highly satisfied
Row 0, Column 4
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5
I felt that the cost of my medication(s) was reasonable and affordable.
*
This field is required.
highly dissatisfied
dissatisfied
neither dissatisfied nor satisfied
satisfied
highly satisfied
Row 0, Column 0
Row 0, Column 1
Row 0, Column 2
Row 0, Column 3
Row 0, Column 4
highly dissatisfied
Row 0, Column 0
dissatisfied
Row 0, Column 1
neither dissatisfied nor satisfied
Row 0, Column 2
satisfied
Row 0, Column 3
highly satisfied
Row 0, Column 4
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6
Please rate your overall satisfaction with claRx Big Country Dermatology Pharmacy.
*
This field is required.
highly dissatisfied
dissatisfied
neither dissatisfied nor satisfied
satisfied
highly satisfied
Row 0, Column 0
Row 0, Column 1
Row 0, Column 2
Row 0, Column 3
Row 0, Column 4
highly dissatisfied
Row 0, Column 0
dissatisfied
Row 0, Column 1
neither dissatisfied nor satisfied
Row 0, Column 2
satisfied
Row 0, Column 3
highly satisfied
Row 0, Column 4
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7
Please provide any additional comments about your experience with claRx Big Country Dermatology Pharmac
y.
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