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Cleveland Clinic Pharmacy

 
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Satisfaction Survey

Please rate your experience at our pharmacy on a scale of 1 to 5.
1=poor
5=great

poor

below avg

avg

above avg

great

1

2

3

4

5
During your visit, the staff at the pharmacy was polite and helpful:

During your visit, the pharmacy was clean and organized:

The staff was knowledgeable about my medication:

The staff seemed truly interested in my health & wellness:

This web site is informative:

Please rate the overall level of service you received:

Date of your visit: (mm/dd/yy)
Pharmacy Visited :

Please provide any comments or questions you may have in the space provided - Please tell us which pharmacy you visited, if applicable. If you ask a question or would like a respone, please provide your name and e-mail address so we can contact you - thank you:

Name:

E-mail: