Patient Satisfaction Survey We want to know how satisfied are you with health services offered in our pharmacy and how we can improve the quality of them. Your responses will be confidential and will help us to provide a service of excellence. Step 1 of 3 33% Age: 15-24 25-44 45-64 65+ Gender: Female Male Pharmacy Services Please rate the services offered according to your level of satisfaction; on the scale of 5 to 1, where 5 means completely satisfied:Pharmacy Services:*5 - Completely Satisfied4 - Satisfied3 - Acceptable2 - Dissastified1 - Very DissastifiedService HoursSpeed of Answering the PhoneTimely Delivery of your MedicationsSomeone from Pharmacy followed up to notify you about refills, need of a new prescription, or collect information about therapy adherence.Someone from Pharmacy followed up to notify you about refills, need of a new prescription, or collect information about therapy adherence. Pharmacy PersonnelPlease indicate how was the attention provided by our pharmacy staff.Pharmacy Personnel:*NeverSometimesUsuallyAlwaysN/AGave easy to understand instructions about taking medicinesGave easy to understand explanations about possible side effects of medicinesGave easy to understand written information about medicinesSuggested ways to help you follow the treatmentGave easy to understand information about your health questions or concernsTreats you with respect Spent enough time with patient Overall SatisfactionPlease rate the services offered according to your level of satisfaction; on the scale of 5 to 1, where 5 means completely satisfied:Overall Satisfaction:*5 - Completely Satisfied4 - Satisfied3 - Acceptable2 - Dissastified1 - Very DissastifiedAre you satisfied with the services offered at the pharmacy?Your health information remains private and confidential?Would you recommend our services to a friend or relative?NameThis field is for validation purposes and should be left unchanged. Δ ShareTweet0 Shares
