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Secret Shopper Program

Your Locally Owned Drug and Variety Store

Find a Location

Secret Shopper Program

Step 1 of 4

25%

Name*
First Last
Phone*
Email*

Address*
Street Address Address Line 2 City State ZIP Code

Age Range:*
Do you have any friends or relatives working for Hi-School Pharmacy?*
- Yes
- No
Employee Name:
You shop at our stores because: (multiple selections allowed)*
- Convenient Location
- Advertised Items
- Prescription Department
- Friendly Service
- Recommended by Friend
- Other:
Reason, If Other:

How many times per month do you shop at our stores?*
- Less than 3 times a months
- More than 3 times a months
How do you receive our ads?*
Which store location(s) would you be interested in completing a survey for?*
- Clatskanie, OR
- Estacada, OR
- Independence, OR
- John Day, OR
- Molalla, OR
- Rogue River, OR
- Silverton, OR
- Vancouver, WA
Email
This field is for validation purposes and should be left unchanged.

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