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Prescripnet Survey

Thank you for taking a few moments to fill out our anonymous customer survey .

At Prescripnet.com we do our utmost to deliver great prices, great service and fast delivery. You can help make sure we get even better by telling us how we can improve.

1. How did you hear about Prescripnet?
Internet Search  - What search engine did you use?
Referred by a friend Referred by a health care professional
Newsletter Newspaper Ad
Other

2. What is your yearly income?
Under 10K 10K-20K
21K-30K 31K-50K
51K-75K 75K+

3. What kind of medical insurance plan do you have?
No Insurance Medicade
Medicare Private HMO
Other

4. Does your plan cover any prescription drug purchases?
Yes No

5. Have you ever purchased from another internet pharmacy?
Yes No

6. How old are you?
under 21 21-35
36-50 51-65
66-75 75+

7. When making a purchase on line, how important are the following to you?
Please rank from 1-5; 1=not important, 5=very important
Price Delivery Speed
Selection Live Customer Service

8. How many times did you visit our site before buying?
1st visit 2nd
3rd 4th 5+

9. Did you have any concerns about buying over the internet? If so, what were they?
No Yes

10. Did you find everything you needed on the Prescripnet site?
No Yes  

11. Overall, are you pleased with the service and selection provided by Prescripnet.com?
No Yes  

12. Did you find the Prescripnet site and online order process easy to use?
No Yes  

13. How can we improve our service to you?
 

14. Would you be willing to participate in a follow up telephone survey?

Yes No
  If you answered yes:
  First Name:   Last Name:
  Phone Number:   Best time to call:





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