Company Fill out the form below Please indicate your agreement with the following statements by placing an “” in the corresponding box Strongly Agree (5) Agree (4) Neutral (3) Disagree (2) Strongly Disagree (1) The Sunray Drugs Specialty staff was professional in their interactions with you. The SunrayDrugs Specialty staff was professional in their interactions with you Strongly Agree Agree Neutral Disagree Strongly Disagree The Sunray Drugs Specialty staff was helpful in answering all of your questions. The Sunray Drugs Specialty staff was helpful in answering all of your questions. Strongly Agree Agree Neutral Disagree Strongly Disagree You were satisfied with the way your questions were answered. You were satisfied with the way your questions were answered. Strongly Agree Agree Neutral Disagree Strongly Disagree The representative that you spoke to was knowledgeable. The representative that you spoke to was knowledgeable. Strongly Agree Agree Neutral Disagree Strongly Disagree The staff acts in your best interest. The staff acts in your best interest. Strongly Agree Agree Neutral Disagree Strongly Disagree Sunray Drugs Specialty was able to meet your needs. Sunray Drugs Specialty was able to meet your needs. Strongly Agree Agree Neutral Disagree Strongly Disagree You were satisfied with the Medication Therapy Management information on medical use, possible side effects, and other related information provided to you. You were satisfied with the Medication Therapy Management information on medical use, possible side effects, and other related information provided to you. Strongly Agree Agree Neutral Disagree Strongly Disagree The amount of information you received during the Medication Therapy Management session was the right amount for a phone call. The amount of information you received during the Medication Therapy Management session was the right amount for a phone call. Strongly Agree Agree Neutral Disagree Strongly Disagree It is easy to contact Sunray Drugs Specialty whenever you have a question or concern. It is easy to contact Sunray Drugs Specialty whenever you have a question or concern. Strongly Agree Agree Neutral Disagree Strongly Disagree You received your medication in good condition so that there was no disruption in your course of treatment. You received your medication in time so that there was no disruption in your course of treatment. Strongly Agree Agree Neutral Disagree Strongly Disagree Your medications are delivered within the time frame you were given. Your medications are delivered within the time frame you were given. Strongly Agree Agree Neutral Disagree Strongly Disagree The Sunray Specialty delivery staff was friendly upon delivery of your medication. The Sunray Drugs Specialty delivery staff was friendly upon delivery of your medication. Strongly Agree Agree Neutral Disagree Strongly Disagree Sunray Specialty Pharmacy filled your prescription accurately. Fill accuracy Strongly Agree Agree Neutral Disagree Strongly Disagree It is easy to reach a pharmacist when needed. ease in reaching pharmacist Strongly Agree Agree Neutral Disagree Strongly Disagree It was an easy process to enroll as a patient at Sunray Specialty Pharmacy. ease in enrolling Strongly Agree Agree Neutral Disagree Strongly Disagree The service provided by Sunray Specialty Pharmacy during initial fill and refills have been excellent. service level Strongly Agree Agree Neutral Disagree Strongly Disagree My overall experience with Sunray Specialty Pharmacy has been excellent. overall experience Strongly Agree Agree Neutral Disagree Strongly Disagree Comments or Concerns: * What did we do really well? What could we do better? Do you have any suggestions for improving our service? * Please rate your overall satisfaction of Sunray Drugs Specialty: Please rate your overall satisfaction of Sunray Drugs Specialty: Extremely Satisfied Very Satisfied Moderately Satisfied Slightly Satisfied Not Satisfied