Step
1
of
8
12%
What was the main reason you did not complete your online visit?
*
Please select
Too many questions
Uncomfortable with questions
Got distracted
Confusing / technical issues
Cost of medication unclear
$99 fee
If it was monthly fee of $29 would try MISTR?
*
Please Select
Yes
No
Not Sure
Was it clear on the website that the medication would be covered?
*
Please Select
Yes
No
Do you have insurance?
*
Please Select
Yes
No
Was the fact we don’t accept insurance for the doctor consultation and labs stop you from proceeding?
*
Please Select
Yes
No
What attracted you most to MISTR? Select all that apply.
*
Convenience of online visit
Privacy of online visit
Ability to do testing at home
No needles
Free home delivery
MISTR’s ability to get your medication covered
Age
*
Please Select
18-24
25-34
35-44
45-54
55-64
+65
Any other feedback you have for us? Be honest, good or bad we can handle it.
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+1 747.999.6249
fax +1 786.513.6480
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