Customer Survey

Which CareSite Pharmacies have you visited?: *

CareSite Pharmacy at Central Wilkes-Barre

CareSite Pharmacy at Geisinger Wyoming Valley Hospital

CareSite Pharmacy at Gray's Woods

CareSite Pharmacy at Lake Scranton

CareSite Pharmacy at Lewistown

CareSite Pharmacy at Mount Pocono

CareSite Pharmacy at Pottsville

CareSite Pharmacy at Scenery Park

CareSite Pharmacy at Tunkhannock

Demographics

The following information will help us learn more about the people who use CareSite. This information is completely voluntary.

Zipcode:

Your 5-digit zip code.

Gender:

Male

Female

Age Group:

What factor most influences your decision in choosing a pharmacy?: *

Efficiency of service

Professionalism of staff (i.e., attitude of staff and understanding)

Location of pharmacy

Quality of pharmacist / staff interaction

Services offered (i.e., refill requests to doctors and handling of insurance claims problems)

Your Visit

Was this your first time visiting a CareSite Pharmacy?: *

yes

Will you return to a CareSite Pharmacy in the future?: *

yes

undecided

If you do not intend to return, how can CareSite win back your trust?:

How long did you wait for your prescription to be filled?: *

Less than 10 minutes

10-15 minutes

Greater than 15 minutes

Ratings

Please rate the following using this scale: [5 = Highest rating, 4 = Above Average, 3 = Average rating, 2 = Below Average, 1 = Unacceptable]

How would you rate the courteousness/helpfulness of the CareSite staff?: *

Please rate the medication information you received (written and/or verbal): *

Please rate your overall satisfaction with your interaction in the CareSite pharmacy: *

Market Research

The following section contains market research. All questions in this section are optional.

Would you be interested in having your prescription confidentially delivered to your place of work?:

yes

If yes, please fill out your company’s name and address below:

Company Name:

Company Address:

Would you be interested in mail-order 90-day subscription refills?:

yes

Comments / Suggestions:

Email Address:

Your email address will be kept completely confidential.

Resize Text:

CareSite Pharmacy

Customer Service