Your feedback is being sent directly to the management.

    Please select an option from 1 to 5 where 1 means very dissatisfied and 5 means very satisfied. We will try to improve our services and your overall experience based on your feedback.

    Stay Anonymous:

    Yes

    [group atay_anon_group clear_on_hide]

    Your Name:

    Your Email: *

    Do you wish to be contacted regarding an issue?

    [/group]

    How would you rate your overall experience?

    How would you rate your experience with our pharmacist?

    How would you rate your experience with the staff?

    [group dissatisfied-service clear_on_hide]
    Please write down in your own words, what could we do to improve our services?

    [/group]