Survey Form 1
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WELCOME
to the
Georgetown Pharmacy
Georgetown Health Care Center
5605 Merriam Drive
Merriam, KS. USA 66203
(800)279-3026
(913)362-0313

THE SURVEY

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Enter a number between 1 and 5 where 1 is the least important and 5 is most important

Which is more important to you:
Location
Products and Services Offered

Regarding products & services offered:
Prescriptions
Veterinary compounded prescriptions
Support hose
Durable medical equipment
Ostomy supplies
Oxygen
Over-the-counter products
Medical supplies

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copyright 2008 by HealthCare Equity, Inc.

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