Thank you for taking the time to take part in a research project about expanded pharmacy services in rural and remote Australia. The study is being conducted by Selina Taylor and will contribute to a research project – (Doctor of Philosophy (Health) at James Cook University).

I acknowledge that:

- taking part in this study is voluntary and I am aware that I can stop taking part in it at any time without explanation or prejudice and to withdraw any unprocessed data I have provided;

- that any information I give will be kept strictly anonymous and that no names will be used to identify me in this study without my approval

By continuing, I consent to complete the survey.

If you do not consent, please close the browser.


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* 1. What additional services do you feel community pharmacies should provide to improve the health needs of the community? (Tick all that apply)

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* 2. THE NEXT QUESTIONS ARE ABOUT THE ADDITIONAL SERVICES YOU WOULD LIKE COMMUNITY PHARMACIES TO PROVIDE.Please place a tick in the box that best suits your answer to the following statements. 

  Strongly Agree Agree Disagree Strongly Disagree
Pharmacists have the skills and knowledge to provide the extra services I feel are needed
Providing extra services would improve health of people in my community
These additional services should be provided by other health professionals eg. doctors, nurses, allied health
These additional services are easily accessible by other providers in my community
I would support the implementation of these additional services in my community pharmacy
I would support the implementation of these additional services in communities where these services are not available

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* 3. What is your age in complete years?

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* 4. What is your gender?

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* 5. What is your work postcode?

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* 6. What is your occupation?  Including specialty

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* 7. As part of this survey, the researchers are conducting short telephone interviews to gather more information, if you would be willing to participate in a telephone interview could you please provide your name, email, phone contact, and best available day/time for the interview. This information will be kept separate from the survey data to maintain confidentiality.

Thank you for taking the time to complete this survey. We truly value the information you have provided.
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