--- generated_by: surveylegend-page-markdown title: Pharmacy Service Satisfaction | SurveyLegend description: Ask customers about a recent pharmacy visit, wait, access to staff and clarity of service information. Customize seven questions with SurveyLegend. canonical: https://www.surveylegend.com/survey-examples-templates/healthcare-and-hospital-surveys/pharmacy-service-satisfaction-template/ --- # Pharmacy Service Satisfaction Survey Template This pharmacy service satisfaction survey template asks adults about a recent community-pharmacy visit. Its questions cover waiting, access to staff, privacy, and clarity of service information so a pharmacy can spot practical service gaps. [Try this template ](https://app.surveylegend.com/register/)[Preview template](https://www.surveylegend.com/survey-examples-templates/healthcare-and-hospital-surveys/pharmacy-service-satisfaction-template/#try-template) Preview on a device Show the desktop survey layout Show the tablet survey layout Show the mobile survey layout ![](https://www.surveylegend.com/survey-template-media/demo-backgrounds/pharmacy-service-satisfaction-template-background.avif) **SurveyLegend** 1 / 7 Pharmacy Service Satisfaction Survey What was the main reason for that visit? Collect an item Ask for general information Buy a nonprescription item +3 more answer choices Next → Pharmacy Service Satisfaction Survey [Preview](https://www.surveylegend.com/survey-examples-templates/healthcare-and-hospital-surveys/pharmacy-service-satisfaction-template/#try-template) Share [Facebook ](https://www.facebook.com/sharer/sharer.php?u=https%3A%2F%2Fwww.surveylegend.com%2Fsurvey-examples-templates%2Fhealthcare-and-hospital-surveys%2Fpharmacy-service-satisfaction-template%2F)[LinkedIn ](https://www.linkedin.com/sharing/share-offsite/?url=https%3A%2F%2Fwww.surveylegend.com%2Fsurvey-examples-templates%2Fhealthcare-and-hospital-surveys%2Fpharmacy-service-satisfaction-template%2F)[X ](https://x.com/intent/tweet?url=https%3A%2F%2Fwww.surveylegend.com%2Fsurvey-examples-templates%2Fhealthcare-and-hospital-surveys%2Fpharmacy-service-satisfaction-template%2F\&text=Pharmacy%20Service%20Satisfaction%20Survey%20Template)[Reddit](https://www.reddit.com/submit?url=https%3A%2F%2Fwww.surveylegend.com%2Fsurvey-examples-templates%2Fhealthcare-and-hospital-surveys%2Fpharmacy-service-satisfaction-template%2F\&title=Pharmacy%20Service%20Satisfaction%20Survey%20Template) This pharmacy service satisfaction survey template asks adults about a recent community-pharmacy visit. Its questions cover waiting, access to staff, privacy, and clarity of service information so a pharmacy can spot practical service gaps. A customer may leave with what they came for yet still have questions about the process. This SurveyLegend questionnaire separates the experience of waiting and finding help from whether service information was understandable. ## When to use this template Use it shortly after one visit and name the specific pharmacy when distributing it. For broader guidance on researching care experiences, see [patient satisfaction ](https://www.surveylegend.com/research/patient-satisfaction-survey/). This template focuses on the pharmacy counter and does not evaluate clinical outcomes. **Create your pharmacy service satisfaction survey in SurveyLegend** A customer may leave with what they came for yet still have questions about the process. This SurveyLegend questionnaire separates the experience of waiting and finding help from whether service information was understandable. ## 7 questions for your pharmacy service satisfaction survey Think about your most recent visit to the community pharmacy named in the invitation during the past 30 days. All questions are optional. Do not include your name, medication names, conditions, prescription details or other health information in written answers. Contact the pharmacy directly for personal medical or urgent issues. Try the survey ## A little feedback. A clearer picture. Explore this 7-question example at your own pace. Every question is optional. Preview on a device Show the survey at full desktop width Resize the survey to a tablet-width preview Resize the survey to a mobile preview with scrolling inside the frame Choose a look Use Classic: a white survey card over the background photo Use Light: dark text over a light tint covering the background photo Use Dark: light text over a dark tint covering the background photo SurveyLegend demo Question 1 of 7 ### Pharmacy Service Satisfaction Survey 01 What was the main reason for that visit? Choose one answer, or skip this question. Collect an item Ask for general information Buy a nonprescription item Arrange a service Another reason Prefer not to say 02 How acceptable was the time you waited before someone could help? Choose one answer, or skip this question. Not at all acceptable Slightly acceptable Moderately acceptable Very acceptable Extremely acceptable I did not wait Not sure 03 How easy was it to find a staff member who could help with your request? Choose one answer, or skip this question. Very difficult Somewhat difficult Neither difficult nor easy Somewhat easy Very easy Not applicable 04 How clear was the information you received about the service or next step? Choose one answer, or skip this question. Not at all clear Slightly clear Moderately clear Very clear Extremely clear I did not receive information Prefer not to say 05 How comfortable did you feel discussing your request in the available space? Choose one answer, or skip this question. Very uncomfortable Somewhat uncomfortable Neither comfortable nor uncomfortable Somewhat comfortable Very comfortable I did not need to discuss anything Prefer not to say 06 What part of the visit worked well for you? Do not include personal health details. Share your answer, or skip this question. 07 What one change would make a future visit easier? Do not include personal health details. Share your answer, or skip this question. #### One last look Review your answers before submitting this demo. 0 answered #### Thank you for trying the survey! You’ve tried the template from the respondent’s side. Make it your own with SurveyLegend. [Create your own survey](https://www.surveylegend.com/register/) Checking submission availability… This is a demo. We count starts and submissions only. Your answers stay in your browser and are never sent or saved. **—**Starts **—**Submissions Activity is temporarily unavailable. ## Customize your pharmacy service satisfaction survey Identify a single location and recent visit. Keep the no-information and no-discussion options. Do not ask for symptoms, medication names, treatment outcomes, or personally identifying comments. Decide access to free-text responses before inviting feedback and pilot the wording with customers. ## Printable pharmacy service satisfaction survey Offer the same blank questionnaire at the exit or as a take-home copy, with a private return method. Keep it separate from prescriptions and medical records. Paper answers are reviewed manually and are not automatically added to online responses. ![First page of the printable Pharmacy Service Satisfaction Survey Template with questions and answer spaces](https://www.surveylegend.com/survey-template-media/pdf-previews/pharmacy-service-satisfaction-template-pdf-preview.avif) [![](https://www.surveylegend.com/user-guide-media/icons/download-pdf.svg) Download Pharmacy Service Satisfaction Survey Template (PDF)](https://www.surveylegend.com/downloads/survey-templates/pharmacy-service-satisfaction-survey-template.pdf) Export pharmacy service satisfaction survey as PDF ## Create your pharmacy service satisfaction survey with AI Copy this prompt into an AI assistant to draft the questions. Review the draft, then build and customize the survey in SurveyLegend before sharing. Create your pharmacy service satisfaction survey with AI [](https://www.surveylegend.com/register/) Copy the prompt into an AI assistant to draft the questions, then build your survey in SurveyLegend. Already have an account? [Sign in](https://app.surveylegend.com/login/) to create your pharmacy service satisfaction survey. ## How to use the answers Review wait, staff access, information clarity and privacy separately. Group [open-ended data ](https://www.surveylegend.com/how-to-analyze-survey-results/open-ended-data/)by service process and remove any health details before sharing examples. A service rating cannot establish safe dispensing, counseling competence or patient outcomes. Yuliani and colleagues studied 1,200 customers at 10 community pharmacies in three Indonesian cities. The [pharmacy service study ](https://journal.ugm.ac.id/jmpf/article/view/90552)examined “facilities, waiting time, medicine stocks, staff availability, and counseling hours”. It supports separating service aspects here; its setting and 2021 data do not validate these original items or represent every pharmacy. This template does not solicit medicine information. ## Frequently asked questions ### Does this assess whether medication was dispensed safely? No. It asks about customers’ experience of the service process. Safety and clinical quality need appropriate separate measures and review. ### Should the survey ask what medication a customer collected? No. This service version avoids health and prescription details. Customers should use a direct contact route for individual questions. ### Can it be used at several locations? Yes, if the invited location is clear and each response concerns one visit. Review small-group privacy before sharing results. Healthcare and Hospital Survey Templates 1. 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