Patient Survey

This section is about why you visited the pharmacy today.

To collect a prescription for:

Yourself

Someone else

Both

Other

Note: If you did not collect a prescription, please go to Q3

Straight away

Waited in pharmacy

Come back later

Not at all satisfied

Not very satisfied

Fairly satisfied

Very satisfied

Note: This section is about the pharmacy and staff more generally, not just today's visit.

16-19

20-24

24-34

35-44

Aspect	Very Poor	Fairly Poor	Fairly Good	Very Good	Don't know
Cleanliness of the pharmacy
Waiting area comfort