Sona Compounding Patient Survey

Patient Survey

Please help us improve our service by completing this brief survey.
We appreciate your honest feedback and look forward to serving you again soon!

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* 1. On a scale of zero to ten, how likely are you to recommend Sona Compounding Pharmacy to a friend or colleague?

0

1

2

3

4

5

6

7

8

9

10

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* 2. Please rate your interactions with the Sona Compounding Pharmacy staff:

	Strongly Disagree	Disagree	Agree	Strongly Agree	Not Applicable
My phone calls are answered promptly	My phone calls are answered promptly Strongly Disagree	My phone calls are answered promptly Disagree	My phone calls are answered promptly Agree	My phone calls are answered promptly Strongly Agree	My phone calls are answered promptly Not Applicable
People who answer my calls or meet with me are helpful	People who answer my calls or meet with me are helpful Strongly Disagree	People who answer my calls or meet with me are helpful Disagree	People who answer my calls or meet with me are helpful Agree	People who answer my calls or meet with me are helpful Strongly Agree	People who answer my calls or meet with me are helpful Not Applicable
People really listen to me when I call or have an appointment	People really listen to me when I call or have an appointment Strongly Disagree	People really listen to me when I call or have an appointment Disagree	People really listen to me when I call or have an appointment Agree	People really listen to me when I call or have an appointment Strongly Agree	People really listen to me when I call or have an appointment Not Applicable
People take time to answer all of my questions	People take time to answer all of my questions Strongly Disagree	People take time to answer all of my questions Disagree	People take time to answer all of my questions Agree	People take time to answer all of my questions Strongly Agree	People take time to answer all of my questions Not Applicable
People spend enough time with me when I call or during my appointments	People spend enough time with me when I call or during my appointments Strongly Disagree	People spend enough time with me when I call or during my appointments Disagree	People spend enough time with me when I call or during my appointments Agree	People spend enough time with me when I call or during my appointments Strongly Agree	People spend enough time with me when I call or during my appointments Not Applicable
I receive proper counseling on my medications, including how to use or take them	I receive proper counseling on my medications, including how to use or take them Strongly Disagree	I receive proper counseling on my medications, including how to use or take them Disagree	I receive proper counseling on my medications, including how to use or take them Agree	I receive proper counseling on my medications, including how to use or take them Strongly Agree	I receive proper counseling on my medications, including how to use or take them Not Applicable
I receive information on side effects or other problems that I could have with my medications	I receive information on side effects or other problems that I could have with my medications Strongly Disagree	I receive information on side effects or other problems that I could have with my medications Disagree	I receive information on side effects or other problems that I could have with my medications Agree	I receive information on side effects or other problems that I could have with my medications Strongly Agree	I receive information on side effects or other problems that I could have with my medications Not Applicable
People show respect for what I have to say	People show respect for what I have to say Strongly Disagree	People show respect for what I have to say Disagree	People show respect for what I have to say Agree	People show respect for what I have to say Strongly Agree	People show respect for what I have to say Not Applicable
People show me empathy and are concerned for my needs	People show me empathy and are concerned for my needs Strongly Disagree	People show me empathy and are concerned for my needs Disagree	People show me empathy and are concerned for my needs Agree	People show me empathy and are concerned for my needs Strongly Agree	People show me empathy and are concerned for my needs Not Applicable
People are concerned for my privacy	People are concerned for my privacy Strongly Disagree	People are concerned for my privacy Disagree	People are concerned for my privacy Agree	People are concerned for my privacy Strongly Agree	People are concerned for my privacy Not Applicable
People I speak with know about the medications I’m taking	People I speak with know about the medications I’m taking Strongly Disagree	People I speak with know about the medications I’m taking Disagree	People I speak with know about the medications I’m taking Agree	People I speak with know about the medications I’m taking Strongly Agree	People I speak with know about the medications I’m taking Not Applicable
Overall, I am satisfied with the care I receive from Sona Compounding Pharmacy	Overall, I am satisfied with the care I receive from Sona Compounding Pharmacy Strongly Disagree	Overall, I am satisfied with the care I receive from Sona Compounding Pharmacy Disagree	Overall, I am satisfied with the care I receive from Sona Compounding Pharmacy Agree	Overall, I am satisfied with the care I receive from Sona Compounding Pharmacy Strongly Agree	Overall, I am satisfied with the care I receive from Sona Compounding Pharmacy Not Applicable

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* 3. Additional comments and/or feedback:

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* 4. How did you hear about Sona Compounding Pharmacy?

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* 5. Optional:

Name

Email Address

Phone Number

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* 6. Would you like a phone call follow-up to this survey?

Yes

No