Green Light Pharmacy - Patient Satisfaction Survey

EMS Branch Patient Satisfaction Survey

Please make sure you are on the right page - this is the survey page for EMS Branch, Uxbridge Rd, W12. (Please note there are TWO Green Light Pharmacies in Uxbridge Road.)

Name of branch visited (this question also tests for spam bots):*
Why did you visit the pharmacy today

To collect a prescription for ...

myself another person other reason (please explain below) *
other reason for visit

You may tick more than one, if "other reason" please explain. If not collecting a prescription please skip next 2 questions.

Collecting a Prescription

If you collected a prescription, did you collect it ...

Straight away waited in pharmacy had to come back later *

How satisfied were you with the information given to you by the pharmacist about your medicine?...

The Pharmacist did not give me my medicines or advise me Not at all satisfied Not very satisfied Fairly satisfied Very Satisfied *

Service time

How satisfied were you with the time it took to provide your prescription and/or any other NHS service you required

Not at all satisfied Not very satisfied Fairly satisfied Very Satisfied *

The Pharmacy

Thinking about the pharmacy, not just on today's visit, how would you rate the pharmacy on the following ...

The cleanliness of the Pharmacy Very Poor Fairly Poor Fairly Good Very Good Don't Know *

The comfort and convenience of waiting areas (sitting or standing) Very Poor Fairly Poor Fairly Good Very Good Don't Know *

Having in stock the medicines or appliances you require Very Poor Fairly Poor Fairly Good Very Good Don't Know *

Offering a clear and well organised layout Very Poor Fairly Poor Fairly Good Very Good Don't Know *

How long you had to wait to be served Very Poor Fairly Poor Fairly Good Very Good Don't Know *

Having somewhere where you could speak without being overhead, if you wanted to Very Poor Fairly Poor Fairly Good Very Good Don't Know *

The Pharmacist and Staff

Thinking about the pharmacist and their staff, not just on today's visit, how would you rate the pharmacist and the other staff ...

Being polite and taking the time to listen to what you want Very Poor Fairly Poor Fairly Good Very Good Don't Know *

Answering any queries you may have Very Poor Fairly Poor Fairly Good Very Good Don't Know *

Providing you with different options on how to deal with your query Very Poor Fairly Poor Fairly Good Very Good Don't Know *

The service you received from the pharmacist Very Poor Fairly Poor Fairly Good Very Good Don't Know *

The service you received from the other pharmacy staff Very Poor Fairly Poor Fairly Good Very Good Don't Know *

Providing an efficient service Very Poor Fairly Poor Fairly Good Very Good Don't Know *

The staff overall Very Poor Fairly Poor Fairly Good Very Good Don't Know *

Providing Services

Thinking about all the times you have used this pharmacy, how well does it provide the following services ...

Providing advice on current health problem, or long term health condition Not at all well Not very well Fairly well Very well Never used *

Providing general advice on leading a more healthy lifestyle Not at all well Not very well Fairly well Very well Never used *

Disposing of medicines you no longer need Not at all well Not very well Fairly well Very well Never used *

Providing advice on health services or information available elsewhere Not at all well Not very well Fairly well Very well Never used *

Advice offered

Have you ever been given advice by the pharmacist or any of the pharmacy staff about the following ...

you may tick more than one

Stop Smoking Healthy Eating Physical exercise Diabetes High Blood Pressure *

Services offered

If you have used any of the following services, please rate how satisfied you are with the service...(or tick if you did not know we provided this service)

Stop Smoking Not at all well Not very well Fairly well Very well Never used Did Not know about *

Blood Pressure Testing Not at all well Not very well Fairly well Very well Never used Did Not know about *

Medicines packed in weekly trays Not at all well Not very well Fairly well Very well Never used Did Not know about *

Prescription Collection from Surgery Not at all well Not very well Fairly well Very well Never used Did Not know about *

Prescription delivery to home/office Not at all well Not very well Fairly well Very well Never used Did Not know about *

Travel Clinic Not at all well Not very well Fairly well Very well Never used Did Not know about *

H-Pylori Testing Not at all well Not very well Fairly well Very well Never used Did Not know about *

Other Services

What other services would you like us to provide...

How you use this pharmacy

Which of the following best describes how you use this pharmacy

This is the pharmacy I choose to use if possible
This is one of several pharmacies I choose to use when I need to
This pharmacy was just convenient for you today *

Overall Rating

Finally, taking everything into account - Pharmacy shop, staff and service - how would you rate the pharmacy

Poor Fair Good Very Good Excellent *

Your comments

If you have any comments, or suggestions on how we can improve our service to you, then please write them here

Personal details

'Just a few details about you to help us categorise your answers

Gender

Male Female *

Which of the following apply to you: You have, or care for, children under 16 You are a carer for someone with a longstanding illness or infirmity Neither

What is your first language?Please select a language as this is also a spam bot detector

Please Select
If other ... please specify

Age

16-19 20-24 25-34 35-44 45-54 55-64 65+ *

Do you want us to contact you to discuss anything

This survey is confidential, but if you like us to contact you to discuss any of your feedback then select a contact method below... otherwise leave as "no contact"

contact type
contact details for above

Thank you

Thank you for taking the time to fill out this online survey, please click on the submit button below to see if there are any entry errors.

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