This section is about why you visited the pharmacy today
Q1 Why did you visit this pharmacy today?
Q3b. 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 absolutely confidential.
Q3c. In certain circumstances, the pharmacy may need to ask your consent to share your data withanother healthcare professional to support your care. We will never pass on your health informationwithout your express permission.
This section is about the pharmacy and the staff who work there more generally, not just for today's visit
Q4 Thinking about any previous visits as well as today's, how would you rate the pharmacy on thefollowing factors?
Please tick one box for each aspect of the pharmacy listed below, to show how goodor poor you think it is:ANSWERS:
Q5 Again, including any previous visits to this pharmacy, how would you rate the pharmacist andthe other staff who work there?
Please tick one box for each aspect of the service listed below, to showhow good or poor you think it is:ANSWERS:
Q6 Thinking about all the times you have used this pharmacy, how well do you think it provideseach of the following services?ANSWERS:
Q8 Have you ever been given advice about any of the following by the pharmacist or pharmacystaff?
These last few questions are just to help us categorise your answers
Thank you for completing this questionnaire