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Millennium Pharmacy #2 Patient Satisfaction Survey

Dear Patient, It is our desire to provide you with the best quality services available. In order to help us maintain our high standards, please take a few moments to tell us how we are doing. Please complete this form. Thank you.
1.Were your medications delivered on time?
2.Were the medications dispensed and delivered accurately?
3.Was the pharmacy training provided effective in educating you on your therapy?
4.Were the educational materials and instructions provided to you adequate to educate you on the medications dispensed to you?
5.Was the pharmacy staff courteous and helpful?
6.Were your financial responsibilities explained to you?
7.Do you receive advice or help from the pharmacy when needed?
8.Did the services provided make a positive impact on the outcome of your care and/or therapy?
9.Would you recommend our pharmacy to your friends and family?
10.Did the services provided meet your needs and expectations?
11.First and Last Name
12.Date:
Thank you