Pharmacare Hawaii Customer Satisfaction Survey
Your feedback helps us serve you better, thank you for taking a moment to share your thoughts.
Which best describes your interaction with Pharmacare Hawaii?
Please Select
Ambulatory Infusion Suite (AIS) Treatment
At-home Infusion Treatment
Call Center or Phone Call
Delivery or Warehouse
Long Term Care / Care Home
Other
When did you visit this Pharmacare location?
-
Month
-
Day
Year
Date
Which AIS Location?
Please Select
Oahu (Koapaka)
Big Island (Hilo)
Big Island (Kamuela)
Big Island (Kona)
Kauai
Maui
Specify 'Other'
ex. Billing
Please rate the following:
Overall experience
Poor
1
2
3
4
5
6
7
8
9
Exceptional
10
1 is Poor, 10 is Exceptional
Courteous and friendly customer service
Poor
1
2
3
4
5
6
7
8
9
Exceptional
10
1 is Poor, 10 is Exceptional
Cleanliness
Poor
1
2
3
4
5
6
7
8
9
Exceptional
10
1 is Poor, 10 is Exceptional
Comfort
Poor
1
2
3
4
5
6
7
8
9
Exceptional
10
1 is Poor, 10 is Exceptional
Professionalism
Poor
1
2
3
4
5
6
7
8
9
Exceptional
10
1 is Poor, 10 is Exceptional
Ability to answer questions or explain in a way that is understandable
Poor
1
2
3
4
5
6
7
8
9
Exceptional
10
1 is Poor, 10 is Exceptional
How likely are you to recommend Pharmacare Hawaii to a family member, friend, or colleague?
Not Likely
1
2
3
4
5
6
7
8
9
Most Likely
10
1 is Not Likely, 10 is Most Likely
If applicable, would you please share how long you waited before being helped?
Less than one minute
Over 15 minutes
1 to 5 minutes
Not applicable
6 to 15 minutes
How often do you receive service?
One time only
Once a month
Once a week
More than once a week
Please use the space below to share with us anything else about your experience with Pharmacare.
Please check this box if you would like to be contacted by someone from our team
Contact Name
Contact Info
Please provide your phone number or email
Submit
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