Patient Feedback Form
Please take a few moments to complete this form
Legacy Compounding Overall Satisfaction
Rows
Very satisfied
Satisfied
Neutral
Unsatisfied
Very unsatisfied
Pharmacist's availability to answer your questions.
Courtesy and respect shown to you by the pharmacy staff.
Promptness of prescription services.
Talked to you in a way you could understand your treatment plan.
Rate your overall experience with the pharmacy.
Additional comments?
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