Help us Get to Know You Page 1 ContactID AccountID Business Information Please confirm your first name, last name and job title. First Name Last Name Email Address Job Title Job FunctionPlease select… Accounts Payable CEO/Owner Clinical Specialist Finance Manager/Director of Care Purchasing Nurse Practitioner Receptionist Other Other – Please define Are there other contacts at your organization?Please select… Yes No Additional Contacts First Name Last Name Job Title Email Address Job FunctionPlease select… Accounts Payable CEO/Owner Clinical Specialist Finance Manager/Director of Care Nurse Practitioner Purchasing Receptionist Other Page 2 About Your Organization What do you consider most important when selecting your healthcare supplies provider? How many different suppliers do you currently purchase medical supplies from?Please select… One, only Cardinal Health Depends on price and availability Changes depending on what I need I buy from 2 or more providers I mostly buy from other suppliers, not Cardinal Health Do you currently order from Amazon Business?YesNo What do you buy? What challenges does your organization face? How can we help to serve you better? Contact Information
