It is our desire to strive for excellence. In an effort to help us maintain our high standards, please take a few moments to tell us how we are doing. Please complete this form and check the response that matches your experience. 1. Does the answering phone system meets your expectations? Do we answer the phone in a timely manner? Yes No N/A 2. Does the process for sending in a referral meet your expectations? Yes No N/A 3. Is the amount of information we request for a referral reasonable? Yes No N/A 4. Is the time spent on the phone when making a referral reasonable? Yes No N/A 5. Is our staff courteous and helpful? Yes No N/A 6. Are the quality, variety and availability of medications and/or products we carry adequate for your patient needs? Yes No N/A 7. Are you satisfied with the ease of calling in a referral / prescription? Yes No N/A 8. Is our geographic service area adequate to meet your referral needs? Yes No N/A 9. Is our clinical team responsive to your needs and requests? Yes No N/A 10. Would you recommend our services for family and friends Yes No N/A 11. What can we do to earn more of your business? Please fill in the comment box below.