Patient Satisfaction Survey
Please take a few moments to complete this survey. All answers are kept confidential.
Name
First Name
Last Name
Gender
Male
Female
N/A
Prescriber: First and Last Name
Name of Staff Member that helped you:
Type of Service: Check all that apply
Retail
Compounding
Specialty
Infusion
Medication Home Delivery
Medication Pick Up
How often do you use Pyramids Pharmacy services?
1 to 5 times per year
5-10 times per year
More than 10 times per year
Location of Visit or Interaction
Pyramids Pharmacy
Pyramids Pharmacy TMC
Pyramids Pharmacy Webster
Pyramids Infusion Center
Pyramids Specialty Pharmacy
Pyramids Mail Order Pharmacy
Overall satisfaction
Very satisfied
Satisfied
Neutral
Unsatisfied
Not Applicable
Overall satisfaction of Pyramids services in comparison to other pharmacies
How satisfied are you with your last experience with Pyramids?
How would you rate your experience with the services such as scheduling a Medication Home Delivery/Medication Pick-Up/Infusion Appointment?
How likely are you to recommend Pyramids to your family and friends?
Pharmacy Staff polite and helpful
Pharmacy Wait Times
Pharmacist consultation
Please verify that you are human
*
How can we improve our service?
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