Name
Email
Please rate how much you agree with each sentence below.
1. The pharmacy staff are polite and helpful.
(Required)
1 = Strongly disagree
2 = Disagree
3 = Agree
4 = Strongly Agree
2. It is easy to communicate with pharmacy staff.
(Required)
1 = Strongly disagree
2 = Disagree
3 = Agree
4 = Strongly Agree
3. The pharmacy staff are knowledgeable about our patients’ medication(s) and condition(s).
(Required)
1 = Strongly disagree
2 = Disagree
3 = Agree
4 = Strongly Agree
4. Please write any general comments about your experience with the pharmacy.
