This section is about why you visited the pharmacy today
Q1 Enter your Email Address:
Q2 Why did you visit this pharmacy today?
To collect a prescription for:
Note: If you did not collect a prescription, please go to Q3
Q3 If you collected a prescription today, were you able to collect it straight
away, did you have to wait in the pharmacy or did you come back later to collect
Q4 How satisfied were you with the time it took to provide your prescription
and/or any other NHS services you required?
This section is about the pharmacy and the staff who work there more generally,
not just for today's visit
Q5 Thinking about any previous visits as well as today's, how would you rate
the pharmacy on the following factors? Please tick one box for each aspect of the
pharmacy listed below, to show how good or poor you think it is:
Q6 Again, including any previous visits to this pharmacy, how would you rate
the pharmacist and the other staff who work there? Please tick one box for each
aspect of the service listed below, to show how good or poor you think it is:
Q7 Thinking about all the times you have used this pharmacy, how well do you
think it provides each of the following services?
Q8 Have you ever been given advice about any of the following by the pharmacist
or pharmacy staff?
Q9 Which of the following best describes how you use this pharmacy?
Q10 Finally, taking everything into account - the staff, the shop and the service
provided - how would you rate the pharmacy where you received this questionnaire?
Q11 If you have any comments about how the service from this pharmacy could
be improved, please write them in here:
Q14 Which of the following apply to you: