Customer Experience Survey
Please let us know about your experience with our pharmacy. We use this feedback to ensure we are continually striving to improve the quality of our service and community health support. You may answer all questions, or as many questions as you like. You may remain anonymous if you wish.
How was your overall experience at the pharmacy today?
Rows
Average
Fair
Good
Great
Poor
Please Select
How was the customer service today overall?
Rows
Average
Fair
Good
Great
Poor
Please Select
Would you recommend our pharmacy to family and friends?
Yes
No
Do you have any suggestions for improvement, or questions you would like to ask us?
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Evaluation
Please evaluate our pharmacy staff by ticking the applicable rating box for each line item
Rows
Exceptional
Fair
Good
Neutral
Poor
Advising you about new prescription medications
Answering of the phone
Answering your questions
Filling your prescriptions in a timely manner
Friendliness
Kindness and Helpfulness
Maintaining your privacy
Overall customer service
Politeness
Providing advice on medications and healthcare services
Responsiveness
Returning phone calls
Service Quality
Do you have any other feedback to share?
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Contact Details
Are you happy for us to contact you regarding any of your feedback or questions you have?
Yes
No
Name
Email
Phone Number
Submit
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