Annual Patient Surveys

Q1 Why did you use this pharmacy?

To obtain a prescription for:
YourselfSomeone elseBothOtherNone

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If you did not require prescription medication, please go to Q3.

Q2 If you required a prescription today, did you receive the medication when you expected to?

As advisedThere was a delay

Q3 How satisfied were you with the time it took to provide your prescription and/or any other NHS services you required?

Not at all satisfiedNot very satisfiedFairly satisfiedVery Satisfied

Q4 Thinking about any previous use 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:

ANSWERS:	Very Poor	Fairly Poor	Fairly Good	Very Good	Don't Know
a) The website layout	Very Poor	Fairly Poor	Fairly Good	Very Good	Don't Know
b) The information provided on the website	Very Poor	Fairly Poor	Fairly Good	Very Good	Don't Know
c) Having in stock the medicines/appliances you need	Very Poor	Fairly Poor	Fairly Good	Very Good	Don't Know
d) How long you have to wait for your medicines	Very Poor	Fairly Poor	Fairly Good	Very Good	Don't Know
e) Being able to contact someone, if you wanted to	Very Poor	Fairly Poor	Fairly Good	Very Good	Don't Know

Q5 Again, including any previous use of 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:

ANSWERS:	Very Poor	Fairly Poor	Fairly Good	Very Good	Don't Know
a) Being polite and taking the time to listen to what you want	Very Poor	Fairly Poor	Fairly Good	Very Good	Don't Know
b) Answering any queries you may have	Very Poor	Fairly Poor	Fairly Good	Very Good	Don't Know
c) The service you received from the pharmacist	Very Poor	Fairly Poor	Fairly Good	Very Good	Don't Know
d) The service you received from the other pharmacy staff	Very Poor	Fairly Poor	Fairly Good	Very Good	Don't Know
e) Providing an efficient service	Very Poor	Fairly Poor	Fairly Good	Very Good	Don't Know
f) The staff overall	Very Poor	Fairly Poor	Fairly Good	Very Good	Don't Know

Q6 Thinking about all the times you have used this pharmacy, how well do you think it provides each of the following services either by email / videocall or on the website?

ANSWERS:	Very Poor	Fairly Poor	Fairly Good	Very Good	Don't Know
a) Providing advice on a current health problem or a longer term health condition	Very Poor	Fairly Poor	Fairly Good	Very Good	Don't Know
b) Providing general advice on leading a more healthy lifestyle	Very Poor	Fairly Poor	Fairly Good	Very Good	Don't Know
c) Disposing of medicines you no longer need	Very Poor	Fairly Poor	Fairly Good	Very Good	Don't Know
d) Providing advice on health services or information available elsewhere	Very Poor	Fairly Poor	Fairly Good	Very Good	Don't Know

Q7 Have you ever been given advice about any of the following by the pharmacist or pharmacy staff?

Stopping smoking

YesNo

Healthy eating

YesNo

Physical exercise

YesNo

Q8 Which of the following best describes how you use this pharmacy?

This is the pharmacy that you choose to use if possible

Yes

This is one of several pharmacies that you use when you need to

Yes

This pharmacy was just convenient for you today

Yes

Q9 Finally, taking everything into account - the staff, the website and the service provided - how would you rate the pharmacy where you received this questionnaire?

PoorFairGoodVery GoodExcellent

//Valuable feedback from our patients in the annual NHS survey