Customer Satisfaction Survey: Geneva Woods Pharmacy - Alaska Health Care Services

Customer Satisfaction Survey
Your opinion on our performance matters greatly to us as we are constantly working to improve our level of service to you. We therefore ask that you please take a few minutes to fill out the survey below, and please answer honestly. We take all of our members’ feedback very seriously and commit to making Geneva Woods even better tomorrow than it already is today.

We thank you sincerely for your time and feedback.

*=Required Fields
*Name:
Phone:
*Email

1. Where did you hear about Geneva Woods Pharmacy?

	Friend/Family
	Ad
	Physician/Healthcare
	Other:

2. Which Geneva Woods Pharmacy location serviced your needs?

	Anchorage
	Valley
	Soldotna

3. Which department of Geneva Woods Pharmacy did you receive service from? (Please check all that apply)

	Pharmacy
	Medset
	Professional Infusion Pharmacy
	Home Medical Equipment
	Respiratory Services

4. Our phone staff was courteous and polite.

Strongly Disagree	Disagree	Somewhat Agree	Agree	Strongly Agree	Not Applicable

5. Our customer service staff was helpful and knowledgeable.

Strongly Disagree	Disagree	Somewhat Agree	Agree	Strongly Agree	Not Applicable

6. Was our website informative, user-friendly and resourceful?

Strongly Disagree	Disagree	Somewhat Agree	Agree	Strongly Agree	Not Applicable

7. We were able to supply all the products/services you needed.

Strongly Disagree	Disagree	Somewhat Agree	Agree	Strongly Agree	Not Applicable

8. If the item you wanted was not in stock, we suggested alternatives or offered to order it for you.

Strongly Disagree	Disagree	Somewhat Agree	Agree	Strongly Agree	Not Applicable

9. You were instructed on the use of your equipment or medication.

Strongly Disagree	Disagree	Somewhat Agree	Agree	Strongly Agree	Not Applicable

10. Our order was complete when you received it.

Strongly Disagree	Disagree	Somewhat Agree	Agree	Strongly Agree	Not Applicable

11. If you had your order delivered, your home delivery arrived within the promised time frame.

Strongly Disagree	Disagree	Somewhat Agree	Agree	Strongly Agree	Not Applicable

12. You are aware of the products and services Geneva Woods Pharmacy provides and how to contact us.

Strongly Disagree	Disagree	Somewhat Agree	Agree	Strongly Agree	Not Applicable

13. Your billing statement was clear and easy to understand.

Strongly Disagree	Disagree	Somewhat Agree	Agree	Strongly Agree	Not Applicable

14. You would recommend Geneva Woods Pharmacy to family or friends.

Strongly Disagree	Disagree	Somewhat Agree	Agree	Strongly Agree	Not Applicable

15. Do you have any comments or concern?

16. Do you have any suggestions for products or services?

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3.	Employment

4.	Employment Application

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6.	Additional Information

7.	Customer Satisfaction Survey