AUPCC Pharmacy
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1. AUPCC Pharmacy Patient Satisfaction Survey
Please help us improve our service by rating the following:
(Rating is letter A through letter E with A being the best and E being the worst)
1
. The AUPCC Pharmacy Staff was friendly and helpful
The AUPCC Pharmacy Staff was friendly and helpful
A
B
C
D
E
2
. Wait time for prescription was appropriate
Wait time for prescription was appropriate
A
B
C
D
E
3
. The pharmacist offered counseling/information on my prescriptions medicines.
The pharmacist offered counseling/information on my prescriptions medicines.
Yes
No
4
. Counseling/information received from the Pharmacist was helpful in understanding my medications and answering my questions?
Counseling/information received from the Pharmacist was helpful in understanding my medications and answering my questions?
A
B
C
D
E
5
. I would recommend our pharmacy to others
I would recommend our pharmacy to others
Strongly Agree
Agree
Disagree
Strongly Disagree
6
. The AUPCC Pharmacy Provides: (Please select all that apply)
The AUPCC Pharmacy Provides: (Please select all that apply)
A. Medication reviews to identify potential cost savings
B. Free on-campus delivery
C. Over-the-counter medications
D. TB skin tests
E. None of the above
7
. Do you use the online refill system for prescription refills (RXExpress)?
Do you use the online refill system for prescription refills (RXExpress)?
Yes
No
8
. How did you hear about the AUPCC Pharmacy? (Mark all that apply)
How did you hear about the AUPCC Pharmacy? (Mark all that apply)
A. AU Daily
B. AU Report
C. HSOP Website
D. Flyer or brochure
E. Presentation by AUPCC Staff
F. Other
9
. Please list any other service you would like the AUPCC Pharmacy to provide.
Please list any other service you would like the AUPCC Pharmacy to provide.
10
. Additional Comments:
Additional Comments:
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