Pharmacy Satisfaction Survey
We are always looking for ways to become a better clinic for you!
Please answer a few questions about your experience with our pharmacy.
Do you use our pharmacy?
I did not know this clinic had a pharmacy
If you answered "No", or "I did not know this clinic had a pharmacy" , what pharmacy do you use?
If you DO NOT use our pharmacy, you do not need to complete any more questions on this survey.
If you plan on visiting the pharmacy, please tell us why.
Doctor/Primary Care Provider told me to pick up prescriptions
I need refills on existing medications
I need non-prescription medications or vitamins (example: aspirin, B12)
I have questions for the pharmacist
If you’re picking up a refill, how did you ask us to refill your medications?
I was in a visit with my Doctor/Primary Care Provider and asked for a refill in my visit with them
I called the Pharmacy directly
I spoke to a medical assistant or a nurse over the phone
Someone that takes care of me asked for the refill, and I am not sure how they asked
If you visited the pharmacy, were the people working in the pharmacy friendly to you?
Use the lines below to tell us what we did well, and what we can improve:
If you visited the pharmacy, were the pharmacy staff members helpful to you if you had questions?
I did not ask questions today
If you asked questions, tell us a little more about what you asked the pharmacy staff:
Did you have to wait in the pharmacy lobby for your prescriptions?
If you answered “Yes,” please let us know if there is anything we can do to make the pharmacy lobby a little nicer to wait in:
THANK YOU FOR TAKING OUR SURVEY!
If you have specific questions or concern, please send us an e-mail to
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