Help Us Expand Our Pet Care Services!

First Name

Last Name

Email

Would you be interested in obtaining pet medications and/or specialized pet foods from our pharmacy?
 Yes, both pet medications and pet foods
 Yes, pet medications only
 Yes, specialized pet foods only
 No, not at this time

What types of products would you be interested in? (Check all that apply)
 Prescription pet medications  
 Flea and tick prevention  
 Heartworm prevention  
 Specialized veterinary diets  
 Joint health products  
 Allergy and skin care products  
 Other:  

Which pet food brands would you like us to carry? (Please list any brands you currently use or would like to purchase through our pharmacy.)

Which pet medication brands would you like us to carry? (Examples: flea/tick prevention, heartworm prevention, prescription medications, etc.)

If we could offer competitive pricing and potential savings, how likely would you be to purchase pet products from our pharmacy?
 Very likely
 Somewhat likely
 Unsure
 Unlikely
 Very unlikely

Additional comments or suggestions:

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