Caregiver feedback survey for Employee Benefit Pharmacy- Window Service
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1
. How often do you use the Employee Benefit Pharmacy?
How often do you use the Employee Benefit Pharmacy?
More than once per month
Monthly
Every three months
Occasionally
If this is your first time, please tell us how you heard of us. (Please insert comments in box below)
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2
. Did the Employee Benefit Pharamcy staff present in a polite and professional manner/dress?
Did the Employee Benefit Pharamcy staff present in a polite and professional manner/dress?
Staff was both polite and presented in a professional manner.
Staff was polite but did not present in a professional manner.
Staff was not polite but presented in a professional manner.
Staff was not polite nor presented in a professional manner.
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3
. Do you ever use an outside retail pharmacy to fill prescription drugs?
Do you ever use an outside retail pharmacy to fill prescription drugs?
No
Yes
If yes, why did you choose not to utilize the Employee Benefit Pharmacy?
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4
. How do you feel about the length of wait time experienced at our pharmacy?
How do you feel about the length of wait time experienced at our pharmacy?
The wait was less than expected.
The wait met my expectation.
The wait was more than expected.
The wait time was excessive.
Please enter any additional comments in the box below.
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5
. How likely are you to suggest the Employee Benefit Pharmacy to other PeaceHealth employees and dependents?
Very Likely
Probably
Not Likely
Never
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How likely are you to suggest the Employee Benefit Pharmacy to other PeaceHealth employees and dependents? Very Likely
Probably
Not Likely
Never
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6
. Are you aware that Employee Benefit Pharmacy can mail prescriptions to you at no additional cost as part of your prescription benefit?
Are you aware that Employee Benefit Pharmacy can mail prescriptions to you at no additional cost as part of your prescription benefit?
Yes, I currently use the mail order service.
Yes, I have previously used the mail order service but prefer to pick up prescriptions in person.
No, I did not know this option was available but I am interested in mail service
No, I did not know this option was available to me and I am not interested
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7
. Do you feel staff members of the Employee Benefit Pharmacy demonstrate interest in your health care and wellbeing?
Do you feel staff members of the Employee Benefit Pharmacy demonstrate interest in your health care and wellbeing?
Yes, I feel that staff members genuinely care about my health care wellbeing.
Most of the time, the interactions with pharmacy staff members seem genuine.
No, I don't feel that staff members are interested in my health care and wellbeing
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8
. What changes/additions would you like implemented at the Employee Benefit Pharmacy?
What changes/additions would you like implemented at the Employee Benefit Pharmacy?
Nothing, I enjoy my expirences with the Employee Benefit Pharmacy.
I would like to see the following changes made:
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9
. Have you had a negative experience with any of the following?
Have you had a negative experience with any of the following?
Telephone service
Website use
Mail Service
Pharmacist counseling
Pickup window service
The pharmacy location
The pharmacy hours
Medication not in stock
All of my experiences have been positive
Please include any additional comments in the box below.
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10
. My overall rating of the Employee Benefit Pharmacy is:
My overall rating of the Employee Benefit Pharmacy is:
A
B
C
D
F
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