Medical Arts Outpatient Pharmacy
Satisfaction Survey
1. Rate the completeness and accuracy of your prescription order
Excellent
Very Good
Good
Fair
Poor
2. Rate the wait time before you received your prescription
Excellent
Very Good
Good
Fair
Poor
3. Rate the courtesy and respect shown to you by the cashier today
Excellent
Very Good
Good
Fair
Poor
4. Rate the courtesy and respect shown to you by the pharmacist today
Excellent
Very Good
Good
Fair
Poor
5. Rate how your questions or concerns were addressed by the pharmacist
Excellent
Very Good
Good
Fair
Poor
6. Rate your overall satisfaction with the service you received today
Excellent
Very Good
Good
Fair
Poor
7. Rate your likelihood of recommending this pharmacy to others
Excellent
Very Good
Good
Fair
Poor
8. Would you like to mention any person for any reason?
9. Please make any suggestion(s) that would improve our service to you
