1.The Pharmacy staff was professional, courteous, knowledgeable, and addressed issues promptly.

Strongly agree

Agree

Neither agree nor disagree

Disagree

Strongly disagree

2.Using the scale below, how would you rate the ease to get in touch with one of our representatives?

Very Easy

Easy

Neither easy nor difficult

Difficult

Very difficult

3.How would you rate the condition of the medication upon delivery and the timeliness of your order?

Excellent

Very good

Good

Fair

Poor

Not Applicable

4.If applicable, how satisfied were you with the reports, materials or resources provided to you by our representative?

Very satisfied

Satisfied

Neither satisfied nor dissatisfied

Dissatisfied

Very Dissatisfied

Not Applicable

5.How would you rate the ability of our staff to provide accurate information in regards to the billing of your prescription and your financial obligation?

Excellent

Very good

Good

Fair

Poor

Not Applicable

6.Overall, how satisfied or dissatisfied are you with Synergen Rx?

Very satisfied

Somewhat satisfied

Neither satisfied nor dissatisfied

Somewhat dissatisfied

Very dissatisfied

7.Please provide any comments or feedback below that you wish for our team or individuals to hear.

8.I am best described as

Manufacturer or GPO

Patient

Caregiver

Provider or office staff

Health plan or Payer Staff

Pharmaceutical Representative