This free survey is powered by
Create a Survey
Surveys
2015
July
T
Test150715b
Test150715b
0%
Questions marked with an
*
are required
Exit Survey
*
What region is it in?
Scotland
Wales
Northern Ireland
North East and Cumbria
North West
Yorkshire
East Yorkshire and Lincolnshire
East Midlands
West Midlands
East Anglia
South
South East
South West
London
Other
How many staff work in this outlet
Full time
Part time
*
Pharmacists
*
Locums
*
Medicine counter assistants
*
Technicians
*
Accuracy checking assistants
*
Non-pharmacist supervisers/managers
*
Beauty Counter Assistants
*
Other staff
How many staff work in this outlet
Full time
Part time
*
Pharmacists
*
Locums
*
Medicine counter assistants
*
Technicians
*
Accuracy checking assistants
*
Non-pharmacist supervisers/managers
*
Beauty Counter Assistants
*
Other staff
Which services does your pharmacy provide? Please indicate if these are funded by the CCG, paid for by patients, or provided free of charge
Funded by CCG
Paid for by patients
Free of charge
*
Stop smoking
*
Minor ailments scheme
*
Needle exchange
*
Supervised drug consumption
*
Pregnancy testing
*
Blood pressure testing
*
Cholesterol testing
*
Weight management
*
Diabetes testing
*
STI screening (please state which)
Funded by CCG
Paid for by patients
Free of charge
*
Flu vaccinations
*
Travel vaccinations
*
Malaria prophylaxis
*
Erectile dysfunction support
*
Emergency contraception
*
Medication review (please note that this is different to a Medicines Use Review)
*
Repeat dispensing
*
Prescription collection
*
Prescription delivery
*
Dispensing into multi-compartment compliance aids
*
Care home services
*
Supplementary prescribing
*
Independent prescribing
*
NHS Health Checks
*
Which of these resources do you have in your pharmacy?
A rota scheme for out of hours care
Electronic prescription register
Electronic CD register
Internet-enabled pc for use by staff
Internet-enabled pc for use by patients
Tablet computer for use by patients
BNF
Medicines, Ethics and Practice Guide
Counter Intelligence Plus
C+D Guide to OTC Medicines and Diagnostics
C+D Pricelist
Martindale
MIMs
Stockley’s Guide to Drug Interactions
*
Which of these banks does the pharmacy use?
Royal Bank of Scotland
Clydesdale Bank
HSBC
NatWest
Yorkshire Bank
Santander
Barclays
Co-operative
Other
*
Which of these insurance companies does this pharmacy use?
NPA Insurance
Towergate
The Pharmacy Insurance Agency
Wilby Ltd
Medical Insurance Advisory Bureau (MIAB)
Other please specify
What is the size of the pharmacy outlet in which you work?
↓
*
front of house/shop (square ft)
*
Dispensing area (square ft)
*
What is your age?
under 25
25-29
30-34
35-39
40-44
45-49
50-54
55-59
60-64
65 plus
*
Are you:
Male
Female
Loading...
close
Loading...
Close
qpweb2.questionpro.net
Loading...
