Free access · Provider survey

Help shape modern compounded prescribing.

Five short sections, about 5 minutes. Your input directly guides what we build — and providers who complete it can claim free verified GideonRx access. All fields are required; your progress saves automatically as you go.

Progress saved on this device

Provider profile

So we can attribute your response and follow up about free access.

Full name

Work email

NPI number

Specialty

Practice / organization

City

State

Compounded Rx / month

What type of practice do you work in?

Private Hospital Health System Clinic Other

Current ordering workflow

How compounded prescriptions get ordered today.

Which compounding pharmacy or pharmacies do you currently use?

e.g. Cornerstone Compounding, Wellness Rx

How do you currently submit compounded prescriptions?

Fax Phone ePrescribe Portal Email Other

How long does a compounded order take?

Who usually completes the order?

Provider Nurse MA Office Staff Other

Pain points

What isn't working about compounded ordering today.

What frustrates you most about ordering compounded prescriptions?

Have you ever switched compounding pharmacies because of the ordering experience?

Yes No

What caused you to switch?

GideonRx validation

Assuming your preferred pharmacy offered GideonRx.

How likely are you to use GideonRx if your preferred pharmacy offered it?

1 · Not likely10 · Extremely likely

Rate the value of each capability (1 = low, 10 = high)

What additional features would make GideonRx more valuable?

Adoption & network

Help us reach the right pharmacies and providers.

Would you create a free verified GideonRx provider account?

Yes Maybe No

Which compounding pharmacy would you most like to see adopt GideonRx?

Would you recommend GideonRx to another provider?

Yes Maybe No

Would you recommend it to a preferred pharmacy?

Yes Maybe No

Additional comments or suggestions

Your responses help validate GideonRx and are used to improve the product and connect pharmacies. We'll only contact you about GideonRx.

Thank you — your input is in.

We appreciate you helping shape GideonRx. If you asked about free verified access, our team will reach out shortly with next steps.