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Patient Satisfaction Survey
Central Valley Community Pharmacy Patient Survey
1.)* I received services from Central Valley Medical Center's emergency department on:
2.)* During my visit to the pharmacy I utilized the
On a scale of 1 to 5 please rate the care you/your child/loved one received in our emergency department. (1 being very poor and 5 being excellent)
3.)* How would you rate the amount of waiting time for your prescription to be filled?
1. Very Poor 2. Poor 3. Fair 4. Good 5. Excellent
4.)* How would you rate the value (price) paid at Central Valley Community Pharmacy when compared to other pharmacies?
1. Very Poor 2. Poor 3. Fair 4. Good 5. Excellent
5.)* How would you rate how well the pharmacist provided drug facts or drug interaction information on the medication you received?
1. Very Poor 2. Poor 3. Fair 4. Good 5. Excellent
6.)* How would you rate how well the pharmacist or pharmacy technician answered your questions?
1. Very Poor 2. Poor 3. Fair 4. Good 5. Excellent
7.)* How would you rate the concern expressed by the pharmacist and pharmacy technician for your health and well being?
1. Very Poor 2. Poor 3. Fair 4. Good 5. Excellent
8.)* On the date you visited Central Valley Community Pharmacy, how would you rate the cleanliness of the pharmacy store/waiting area?
1. Very Poor 2. Poor 3. Fair 4. Good 5. Excellent
9.)* Overall, how would you rate your experience with Central Valley Community Pharmacy?
1. Very Poor 2. Poor 3. Fair 4. Good 5. Excellent
Comments:
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