Inspector's Evaluation Form Question Title * 1. Politeness ranking Very convenient Acceptable Unacceptable Question Title * 2. Adequacy of the presentation and introduction process upon entering the pharmacy premises (you can choose more than one answer) The inspector spelled his name slowly and clearly The inspector presented his identity card The inspector asked for permission before accessing the pharmacy computer systems The inspector ask for permission before opening the pharmacy closets & drawers None of the above Question Title * 3. Attitude assessment (you can choose more than one answer) Cooperative Negative Professional Aggressive Straight forward Question Title * 4. Dress code evaluation Professional Unprofessional Question Title * 5. Behavior Assessment (you can choose more than one answer) The inspector initiated interaction with persons other than the pharmacist The inspector gave opinion or argued about matters with the pharmacist The inspector gave his on-site filled report to read before signing The inspector used inappropriate language None of the above Other (please specify) Question Title * 6. Your comments related to the inspector’s visit Question Title * 7. How to improve the visit according to you? Question Title * 8. Pharmacist Name Question Title * 9. Pharmacy Name Question Title * 10. Date of Visit (DD/MM/YYYY) Done