Patient Satisfaction Survey
Were your medications delivered on time?
YES
NO
Were the medications dispensed and delivered accurately?
YES
NO
Was the pharmacy training provided effective in educating you on your therapy?
YES
NO
Were the educational materials and instructions provided to you adequate to educate you on the medications dipsensed?
YES
NO
Was the pharmacy staff courteous and helpful?
YES
NO
Were your financial responsibilities explained to you?
YES
NO
Do you receive advice or help from the pharmacy when needed?
YES
NO
Did the services provided make a positive impact on the outcome of your care and/or therapy?
YES
NO
Would you recommend our pharmacy to your friends and family?
YES
NO
Did the services provided meet your needs and expectations?
YES
NO
Comments (Optional)
Submit
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