| My prescription was delivered or shipped to me on time: |
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| My prescription was prepared on time: |
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| The pharmacy looks clean and organized: |
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| The staff provided friendly and great customer service: |
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| The staff approached me quickly upon my arrival: |
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| The pharmacist's recommendations were helpful: |
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| The compounded medication helped control my pain significantly: |
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| The compounded medication helped my wound heal faster: |
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| The compounded medication provided relief from my medical condition: |
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| The compounded medication met my needs: |
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| Would you recommend this pharmacy to a friend?: |
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| Please list any additional items that we could carry to meet your needs: |
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| Additional Comments: |
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