Annual Patient Surveys

We value your feedback and if you would like to take part in our Annual Patient Survey please click here to download the form and send it back to us at this email address.

Please note that you should only complete this survey if you have used an NHS service from our pharmacy.

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    YourselfSomeone ElseBothOtherNone

    YesThere was a delayI did not receive my medication


    Not at all satisfiedNot very satisfiedSatisfiedFairly satisfiedVery Satisfied

    The website layout
    Very PoorPoorGoodVery goodExcellentDon't know
    The information provided on the website
    Very PoorPoorGoodVery goodExcellentDon't know
    Having in stock the medicines/appliances you need
    Very PoorPoorGoodVery goodExcellentDon't know
    How long you have to wait for your medicines
    Very PoorPoorGoodVery goodExcellentDon't know
    Being able to contact someone, if you wanted to
    Very PoorPoorGoodVery goodExcellentDon't know

    Being polite and taking the time to listen to what you want
    Very PoorPoorGoodVery goodExcellentDon't know
    Answering any queries you may have
    Very PoorPoorGoodVery goodExcellentDon't know
    The service you received from the pharmacist
    Very PoorPoorGoodVery goodExcellentDon't know
    The service you received from the other pharmacy staff
    Very PoorPoorGoodVery goodExcellentDon't know
    Providing an efficient service
    Very PoorPoorGoodVery goodExcellentDon't know
    The staff overall
    Very PoorPoorGoodVery goodExcellentDon't know

    Providing advice on a current health problem or a longer term health condition
    Very PoorPoorGoodVery goodExcellentDon't know
    Providing general advice on leading a more healthy lifestyle
    Very PoorPoorGoodVery goodExcellentDon't know
    Disposing of medicines you no longer need
    Very PoorPoorGoodVery goodExcellentDon't know
    Providing advice on health services or information available elsewhere
    Very PoorPoorGoodVery goodExcellentDon't know

    Stopping smoking
    YesNo
    Healthy eating
    YesNo
    Physical exercise
    YesNo

    This is the pharmacy that you choose to use if possibleThis is one of several pharmacies that you use when you need toThis pharmacy was just convenient for you today

    PoorFairGoodVery goodExcellent


    How old are you?
    16-1920-2425-3435-4445-5455-6465+Prefer not to say
    Gender
    MaleFemaleOtherPrefer not to say
    Do any of the following apply to you?

    You have, or care for, children under 16You are a carer for someone with a longstanding illness or infirmity