Prevention Health Center Pilot Program

Thank you for participating in our Prevention Health Centers survey. We appreciate your partnership during this pilot program. The survey should take you less than 15 minutes. Because it is a pilot program, your feedback is immensely valuable so that it can be improved in the future. Candid responses are appreciated. Responses will be kept anonymous.

Which State is your store located in?

What is the name of your BIVI representative?

Please rate the following Prevention Health Center components based on their HELPFULNESS TO CUSTOMERS:

	Poor	Needs Improvement	Neutral	Good	Excellent	Did Not Use
Cooler Header

Color-Coded Cooler Trays

Dry Shelf Markers

Floor Dots

Counter Mat

Floor Mat

Product Guide Booklet

Product-specific Window Stickers

Poster

Cooler Sidebar

Comments/Suggestions:

Please rate the following Prevention Health Center components based on their EASE OF USE (easy to keep clean, install, stay in place):

Comments/Suggestions:

Which three components of the Prevention Health Center do you feel is most valuable to your store? (please select three)

What would be valuable in-store merchandising additions to the Prevention Health Center program?

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Yes

No