| 1. Gender |
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| 2. Age |
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| 3. Dependents |
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| 4. How frequently do you visit a Cara Pharmacy |
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| 5. Which shops have you visited |
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| 6. How would you rate the following |
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| (a) Customer Service |
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| (b) Physical Appearance |
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| (c) Product Selection |
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| (d) Product Quality |
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| (e) Easiness to find Desired Products |
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| (f) Value For Money |
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| (g) Quality of Special Offers |
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| (h) Overall Experience |
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| 7. Are there any products we don't currently stock which you would like to see in our branches |
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| 8. Are there any areas that you think we could improve on |
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9. At Cara Pharmacy we encourage our staff to provide the best quality customer service. As a result we like to reward staff that provide good customer service.
Are there any staff members whom you feel have provided you with expert service?
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| 10. Have you any further comments on your experience with Cara Pharmacy |
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| 11. Would you recommend Cara Pharmacy to a friend |
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| 12. Your Name |
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| 13. Your Email Address (Required for Entry into Draw) |
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