Skip to content
Customer Survey
*
1.
To enter our competition please fill in your contact details below. This information will not be used for any other purpose.
(Required.)
First Name
*
Last Name
*
Code Number from your card
*
Email Address
*
2.
Please select your gender and age
(Required.)
Female
Male
Under 18
18 - 30
31 - 55
56 - 75
75 and over
*
3.
What was the main purpose of your visit?
(Required.)
Visited for my Prescription.
Visited for Pharmacy items (i.e. Non-Prescription Medicines, Vitamins, First Aid).
Visited for Healthcare Advice.
Visited for Beauty, Skincare and Toiletries.
*
4.
Rate your satisfaction of your experience today:
Please rate: 5- Excellent 1-Worst.
(Required.)
Rate
The friendliness and courtesy of staff members?
5
4
3
2
1
The ease of locating the items you were looking for?
5
4
3
2
1
The range of items?
5
4
3
2
1
Value for money?
5
4
3
2
1
The staff knowledge and communication?
5
4
3
2
1
How efficient were the staff to you today?
5
4
3
2
1
The cleanliness of the store?
5
4
3
2
1
How likely are you to return to this Pharmacy?
5
4
3
2
1
How likely are you to recommend this Pharmacy to a friend or family member?
5
4
3
2
1
Overall, how would you rate the services rendered in the Pharmacy?
5
4
3
2
1
*
5.
How do you think we could improve our services? Please tell us in your own words.
(Required.)
Thank you for your feedback.
You are now entered into our draw for iPad Mini. We wish you the very best of luck, and we shall notify you if you are our lucky winner. We hope to see you in one of our totalhealth Pharmacies very soon.
T&C's
Current Progress,
0 of 5 answered
