Survey Question Suggestion Box

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On the first general survey we received many good comments and suggestions so we decided to open up a suggestion box and allow patrons to provide as much details as they want. Use the form below to make a suggestion for a survey question and the appropriate responses for it. You may access and submit this form as often as you like, but please limit each submission to one question and the possible answers for it.

Responses should be True, False, or if multiple choice, limit of 4 reponses with no more than 2 additional multiple choice responses such as A, B or C, D or All the Above. Here is an example.

  1. I believe the reason I was tapered was:
    1. Prescriber fears for themselves, due to opioid crisis
    2. CDC Guidelines
    3. Fears of patient noncompliance
    4. All the above
    5. A & B
    6. B &C
Please enter your email, so we can follow up with you if we need clarification on your suggestion.
Responses should be True, False, or if multiple choice, limit of 4 reponse and no more than 2 multiple choice responses such as A, B or C, D or All the Above.

 

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