Customer Satisfaction Survey
Thank you for taking the time to complete this survey. We truly value your feedback and we read every comment you leave. Your responses will help pave the way for us to further improve our products and services.Your opinion matters to us!
Why did you select Olympic Pharmacy and Healthcare Services over others?
How long have you been coming to Olympic Pharmacy and Healthcare Services?
First time
Less than 6 months
Less than 1 year
More than 1 year
So Many Years!
Other
Did you have timely access to our staff and services?
Yes
No
N/A
Where would you rank the cleanliness of our facility?
0
1
2
3
4
5
N/A
Spotless
0 is N/A, 5 is Spotless
Did you find our staff helpful and courteous?
Very Satisfied
Satisfied
Not Satisifed
Briefly describe your experience with our staff.
Did we bill your healthcare provider and collect the right deductible from you for your products or services provided?
Yes
No
Somewhat
N/A
I was provided with the proper instructions on how to operate and maintain my equipment and order additional supplies.
True
False
Yes, but I could use a refresher.
N/A
How pleased were you with the care taken to address your needs or concerns?
1
2
3
4
5
Extremely Dissatisfied
Extremely Satisfied
1 is Extremely Dissatisfied, 5 is Extremely Satisfied
How effective were we in communicating with you in a timely manner?
0
1
2
3
4
5
Extremely Dissatisfied
Extremely Effective
0 is Extremely Dissatisfied, 5 is Extremely Effective
What could we improve upon?
How likely are you to tell your friends and family about Olympic Pharmacy and Healthcare Services?
Very Likely
Most Likely
Not Likely
What are we doing great?
Are there any other services we can help you with?
Overall, how many stars would you rate your overall satisfaction with us?
1
2
3
4
5
THANK YOU FOR MAKING US BETTER!
If you have more in-depth comments, suggestions or would like us to contact you on another matter, please add your name and email address below and we will get back with you.
Name
First Name
Last Name
Email
example@example.com
Submit
Should be Empty: