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Rx 'n Go Member Survey
* Represents required fields.
1.
Please enter the information indicated below. *
By entering my personal information, I consent to receive email communications from the survey author's organization based on the information collected.
First Name
*
Last Name
*
Email Address
*
Phone Number
*
2.
Which category describes your age? *
Younger than 18
18-24
25-34
35-44
45-54
55-64
65 or older
Prefer not to answer
3.
What do you like best about Rx 'n Go? *
Prescription savings with $0 copayments
Confidentially shipped to your home
Customer service
90-day supply of medication
Other
4.
How would you rate your level of satisfaction with Rx 'n Go? *
Highly satisfied
Somewhat satisfied
Neutral
Somewhat dissatisfied
Highly dissatisfied
5.
Why?
6.
How likely are you to recommend the Rx 'n Go benefit to a colleague? *
Highly satisfied
Somewhat satisfied
Neutral
Somewhat dissatisfied
Highly dissatisfied
7.
Do you have any suggestions for improving the Rx 'n Go benefit?
Submit Feedback
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