Who did you obtain a prescription for?
Yourself Someone Else Both Other None
How satisfied were you with the time it took to provide your prescription and/or any other NHS services you required?
Not at all satisfied Not very satisfied Satisfied Fairly satisfied Very Satisfied
Thinking about any previous uses of this pharmacy, as well as today's, how would you rate the pharmacy on the following factors?
The website layout
Very Poor Poor Good Very good Excellent Don't know
The information provided on the website
Very Poor Poor Good Very good Excellent Don't know
Having in stock the medicines/appliances you need
Very Poor Poor Good Very good Excellent Don't know
How long you have to wait for your medicines
Very Poor Poor Good Very good Excellent Don't know
Being able to contact someone, if you wanted to
Very Poor Poor Good Very good Excellent Don't know
Again, including any previous use of this pharmacy, how would you rate the pharmacist and the other staff who work there?
Being polite and taking the time to listen to what you want
Very Poor Poor Good Very good Excellent Don't know
Answering any queries you may have
Very Poor Poor Good Very good Excellent Don't know
The service you received from the pharmacist
Very Poor Poor Good Very good Excellent Don't know
The service you received from the other pharmacy staff
Very Poor Poor Good Very good Excellent Don't know
Providing an efficient service
Very Poor Poor Good Very good Excellent Don't know
The staff overall
Very Poor Poor Good Very good Excellent Don't know
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?
Providing advice on a current health problem or a longer term health condition
Very Poor Poor Good Very good Excellent Don't know
Providing general advice on leading a more healthy lifestyle
Very Poor Poor Good Very good Excellent Don't know
Disposing of medicines you no longer need
Very Poor Poor Good Very good Excellent Don't know
Providing advice on health services or information available elsewhere
Very Poor Poor Good Very good Excellent Don't know
Have you ever been given advice about any of the following by the pharmacist or pharmacy staff?
Stopping smoking
Yes No
Healthy eating
Yes No
Physical exercise
Yes No
Which of the following best describes how you use this pharmacy?
This is the pharmacy that you choose to use if possible This is one of several pharmacies that you use when you need to This pharmacy was just convenient for you today
Finally, taking everything into account - the staff, the website and the service provided - how would you rate the pharmacy where you received this questionnaire?
Poor Fair Good Very good Excellent
Do you have any other comments?
Last Few Questions Just To Help Us Categorize Your Answers
How old are you?
16-19 20-24 25-34 35-44 45-54 55-64 65+ Prefer not to say
Gender
Male Female Other Prefer not to say
Do any of the following apply to you?
You have, or care for, children under 16 You are a carer for someone with a longstanding illness or infirmity
