Pharmacy evaluation questionnaire template

Hello,

Please take a few minutes of your time to fill in the following survey.

1. Where did you first hear about our pharmacy?

  • Advertising
  • Internet
  • Recommendation
  • I came across it on the street

2. How often do you need to visit a pharmacy?

  • Once a month
  • More than once a month
  • Once per year
  • More than once per year

3. Please rate the following statements regarding our pharmacy and its staff:

Please rate: 1 - Excellent, 5 - Worst

  • 1
  • 2
  • 3
  • 4
  • 5

The staff were professional

  • 1
  • 2
  • 3
  • 4
  • 5

The staff strove to meet my requirements and help me

  • 1
  • 2
  • 3
  • 4
  • 5

The staff were quick to serve me and the service was efficient

  • 1
  • 2
  • 3
  • 4
  • 5

The prices were fair

  • 1
  • 2
  • 3
  • 4
  • 5

Our website and E-shop were well organised and easy to use

  • 1
  • 2
  • 3
  • 4
  • 5

There is a wide range of brands and products to choose from

  • 1
  • 2
  • 3
  • 4
  • 5

4. Would you recommend our pharmacy to a friend?

  • Yes

5. How do you think we could improve our services? Please tell us in your own words:

500

Use template — it’s free

Pharmacy customer evaluation survey

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Provide your pharmacy with regular customers who’ll recommend you further. Use the pharmacy evaluation questionnaire template to find out their satisfaction.

Use template — it’s free

The survey sample is ideal for

  • pharmacy owners,
  • pharmacy managers.

If you own or operate a pharmacy, it is absolutely necessary to behave in a pro-customer way, to identify needs and offer benefits or loyalty bonuses. Through the pharmacy evaluation questionnaire, you will find out whether your staff can provide additional information on the medicines purchased, how the pharmacy environment affects customers or what they would welcome as part of improving the services provided. Work with this form of questioning and use the obtained answers for further growth and development.

The questionnaire template can be fully edited. Survio will process your answers into well-arranged tables and graphs.

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