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Hello:

In order to serve you better, please fill out this form. It is important to us that we are meeting your needs so your feed back is very valuable to us. Thank you for your time to give us feed back on our service to you.

You are invited to participate in our survey. In this survey, people will be asked to complete a survey that asks questions about their experience with Budding Health Collective. It will take approximately 5 minutes to complete the questionnaire.

Your participation in this study is completely voluntary. There are no foreseeable risks associated with this project. However, if you feel uncomfortable answering any questions, you can withdraw from the survey at any point. It is very important for us to learn your opinions.

Your survey responses will be strictly confidential and data from this research will be reported only in the aggregate. Your information will be coded and will remain confidential. If you have questions at any time about the survey or the procedures, you may contact us at (919)BUD-MEDS or by email at [email protected].

Thank you very much for your time and support. Please start with the survey now by clicking on the Continue button below.
 
 
 
Service Quality
How would you rate the quality of service you received at Budding Health?
 
1 Exemplary
 
2 Excellent
 
3 Good
 
4 Fair
 
5 Poor
 
 
 
Cleanliness of Facility
How would you rate the cleanliness of the facility?
 
1 Exemplary
 
2 Excellent
 
3 Good
 
4 Fair
 
5 Poor
 
 
 
Staff Knowledge
What would you rate the staff knowledge about the medicine and products that are available for the patients?
 
1 Exemplary
 
2 Excellent
 
3 Good
 
4 Fair
 
5 Poor
 
 
 
Safety and Comfort
How would you rate your feeling of Safety and Comfort during your visit?
 
1 Exemplary
 
2 Excellent
 
3 Good
 
4 Fair
 
5 Poor
 
 
 
Please provide the name of the staff member who assisted you during your visit with us (if known):
   
 
 
 
Please provide us information on the quality of the medicine you received. Please provide the Vendor Name (if known), the product type, and your review of the product:
   
 
 
 
Would you recommend our facility to a friend?
 
 
 
If 'No' to the above question, please tell us why:
   
 
 
If you would like us to contact you about your experience with our facility; please fill out this form and submit it so we can contact you.
First Name : 
Last Name : 
Phone : 
Email Address : 
 
Budding Health Collective | 6223 112th St E | Puyallup, WA 98373 | Ph: (919) BUD-MEDS or (253) 268-0507
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