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

Powered by Survio
Use template — it’s free

Survey Templates Healthcare

Pharmacy customer evaluation survey

Popularity 203 ×

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.

All templates

Template categories

Trustpilot rating

Rated excellent on

Survio is a survey software for everyone.

Survey templates make your start quick and smooth. Collect any feedback effortlessly.

Create a questionnaire in less than one minute

Create a questionnaire in less than one minute

Collect survey responses on multiple channels

Collect survey responses on multiple channels

Analyze survey results with a single click

Analyze survey results with a single click

What people say about us

Marketing manager, HR specialist and sales director sharing their experience with Survio.

Survey creation is straightforward and simple. Easy to navigate as a survey creator as well as a survey respondent. Quick to make unique surveys tailored to your and your company's purpose.

Linda W. Marketing manager

I've been able to design multiple surveys in just a few minutes. I'm particularly excited about the data collection, analysis, reporting & exporting capabilities, which are critical to my success as an HR.

Liam J. HR specialist

I highly recommend Survio as it is user-friendly and professional. It is definitely worth updating the free account to get more advanced features and make it an integral part of your workflow.

Edward G. Sales director

It’s not just a template. You’ll get the entire survey platform to collect desired data and understand them.

Create your survey now

Enter Survio

Login

Forgot Password?

Get a 1-on-1 demo

Digicert

Start surveying now!

  • Build a survey Easy-to-use survey editor, 100+ ready-made survey templates
  • Collect responses Mobile friendly, omnichannel collection, identity tracking
  • Analyze results Fast and comprehensive analytics, one-click reports
  • Engage with Survio PRO User management, custom dashboards, integrations, API
  • GDPR
  • SSO
  • ISO 27001:2013