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Pharmacy Customer Experience Survey
1.
Name of pharmacy:
2.
How would you rate the quality of our pharmacy services?
Excellent
Good
Average
Poor
Very Poor
3.
How satisfied are you with the communication from our team?
Very Satisfied
Satisfied
Neutral
Dissatisfied
Very Dissatisfied
4.
How responsive have we been to any issues or concerns you have raised?
Very Responsive
Responsive
Neutral
Unresponsive
Very Unresponsive
5.
Overall, how satisfied are you with our pharmacy?
Very Satisfied
Satisfied
Neutral
Dissatisfied
Very Dissatisfied
6.
On a scale of 0 to 10,
How likely is it that you would recommend our pharmacy to a friend or colleague?
0 for Not at all likely, 10 for Extremely likely
Not at all likely
Extremely likely
0
1
2
3
4
5
6
7
8
9
10
7.
Additional questions or concerns?
8.
This survey is anonymous. However, if you would like us to follow up with you, please feel free to leave your name and number below. Otherwise, you may leave this section blank.