Patient Survey 2017

Q1 *

to collect a prescription for myself to collect a prescription for someone else to collect a prescription for both other

Q2. 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 it?

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

Q4. Thinking about any previous visits as well as today's, how would you rate the pharmacy on the following factors?

4a. cleanliness *

4c. Having in stock the medicines/appliances you need *

4b. The Comfort and convenience of the waiting areas (e.g. seating or standing room) *

4d. Offering a clear and well organised layout *

4e. How long you have to wait to be served *

4f. Having somewhere available where you could speak without being overheard, if you wanted to *

Q5. Again, including any previous visits to this pharmacy, how would you rate the pharmacist and the other staff who work there?

5a. Being polite and taking the time to listen to what you want *

5c. The service you received from the pharmacist *

5e. Providing an efficient service *

5b. Answering any queries you may have *

5d. The service you received from the other pharmacy staff *

5f. The staff overall *

Q6. Thinking about all the times you have used this pharmacy, how well do you think it provides each of the following services?

6a. Providing advice on current health problem or a longer term health condition *

6c. Disposing of medicines you no longer need *

6b. Providing advice on health services or information available elsewhere *

6d. Providing general advice on leading a more healthy lifestyle *

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

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

8. This is the pharmacy that you choose to visit if possible *

8. This pharmacy was just convenient for you today *

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

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

Q10. If you have any comments about how the service from this pharmacy could be improved, please write them in here:

13 *

You have, or care for, children under 16 You are a carer for someone with a longstanding illness or infirmity Neither

Q14. After you receive services or advice from us, we may retain some of your health information so that we’re best placed to help when you next visit the pharmacy. We always ensure this information is safely stored and kept absolutely confidential. Are you happy with our procedures or do you have any concerns?