Patient Survey

Patient Satisfaction Survey

You recently received pharmacy services from InnovaRx™ Inc. Please help us by sharing your experience — every response is reviewed by our care team.

Rate the following

5 = Excellent · 4 = Good · 3 = Average · 2 = Fair · 1 = Poor · or N/A

1. The staff were knowledgeable
2. The staff were courteous and professional
3. The staff fully explained services/items to me
4. The staff explained safety features of item(s)
5. The staff informed me of contact information during and after hours
6. The staff informed me of my rights and responsibilities and any financial obligation
7. The staff informed me of who to contact if I had a concern/complaint or grievance
8. My order was properly packaged and delivered within the agreed-upon timeframe
9. The equipment provided was clean
10. The pharmacist offered to counsel me on my medication
11. Pharmacist could be reached by telephone after hours and on weekends
12. Overall, how satisfied are you with the products and services you received from InnovaRx™ Inc.?
1 — Extremely Dissatisfied10 — Extremely Satisfied
13. If a friend or relative needed services similar to yours, how likely are you to recommend InnovaRx™ Inc.?
1 — Not Likely At All10 — Extremely Likely
15. If you would like a personal response, complete the following (optional).
If you'd like, share your doctor and medication (optional).

This helps us route your feedback to the right care team.