Form questions
Pharmacy survey questions on advice, wait and privacy
Ask 8 to 12 after a visit. Never skip how long the wait was, whether the advice about medicines was clear, and whether there was privacy for the conversation. Those three are what customers judge a pharmacy on, and each points to a change the pharmacy can make at the counter.
Pharmacy survey questions should cover the parts of a visit customers notice most: how long they waited for a prescription, how clearly the pharmacist explained a medicine, and whether they could talk privately. These twenty questions keep those three central and add services, stock and the shop itself.
The questions
Your visit
What did you come in for today?Multiple choiceRequired
Prescription, over the counter medicine, advice, vaccination, health check, other shopping.
How often do you use this pharmacy?Single choice
Roughly how long did you wait for your prescription?Single choice
Under 5 minutes, 5 to 15, 15 to 30, more than 30, did not have one.
Were you told how long it would take?Single choice
Advice
Did a pharmacist explain how to take your medicine?Single choice
How clear was the advice you received?Single choiceRequired
A five point scale from very unclear to very clear.
Did you have a chance to ask questions?Single choice
Were you told about possible side effects?Single choice
Did you feel the pharmacist listened to you?Single choice
Privacy and the shop
Could you speak privately when you needed to?Single choice
Did you know there is a private consultation area?Single choice
Was what you needed in stock?Single choice
How easy was it to find things in the shop?Single choice
How would you rate each of these?Rating grid
Rows: friendliness, knowledge, speed, price. Columns poor to excellent.
Overall
Overall, how satisfied were you with your visit?Single choice
How likely are you to recommend this pharmacy?Single choice
Which services would you like the pharmacy to offer?Multiple choice
Medication reviews, vaccinations, blood pressure checks, home delivery, dose packs.
What is one thing the pharmacy could do better?Long text
Anything else?Long text
Would you like someone to contact you?Single choice
Which questions to make required
Two are required: what the customer came in for and how clear the advice was. The first lets results be split between prescription customers and shoppers, who judge a pharmacy differently. The second is the measure most closely tied to safe use of medicines. Everything else is optional, which keeps the survey short enough for a quick visit.
- What did you come in for today?
- How clear was the advice you received?
The form built from these questions
A static copy of the finished form, from its own example page.
Three ways to change this bank
For a pharmacy that runs a vaccination clinic, add questions about booking, waiting after the injection and whether the pharmacist explained what to expect. For a hospital outpatient pharmacy, add wait time at the window and whether the medicines matched what the doctor said. For a compounding or specialty pharmacy, ask about delivery, communication with the prescriber and how well special instructions were followed. Keep the advice question in every version, because clear instructions are the core of what a pharmacy offers. If the pharmacy has several sites, add the site as the first question so each manager sees their own results, and compare sites on the same three core questions rather than on overall satisfaction, which is shaped by things like parking and price.
Questions people ask
How should a pharmacy collect customer feedback?
A short survey linked from the receipt, a text message after a prescription or a QR code at the counter works for most pharmacies. Keep it under three minutes. Ask about the visit that just happened rather than the pharmacy in general, which gives more specific answers.
Should a pharmacy survey ask about medicines?
Ask whether advice was clear and whether the customer could ask questions, not which medicines they take. Medicine details are health information and are not needed to improve service. Keeping the survey free of clinical detail also makes it easier to answer anonymously.
Why ask about privacy in a pharmacy?
Customers often need to discuss sensitive health matters at a busy counter. Knowing whether they felt able to speak privately, and whether they knew a consultation area existed, shows whether the layout and staff habits protect privacy. Small changes, such as offering the room, often fix it.
How long is too long to wait for a prescription?
Expectations vary, but customers mind waiting more when they are not told how long it will be. Asking both how long they waited and whether they were told the time separates a real delay from a communication gap. Many pharmacies give an estimate and a text when ready.
Should pharmacy surveys be anonymous?
Yes, by default. Customers comment more honestly when they cannot be identified. Add an optional contact question for people who want a reply, and keep those details separate from the analysis. Never ask for Medicare or prescription numbers in a satisfaction survey.
What should the pharmacy do with the results?
Look at the wait, advice and privacy questions first, since they drive satisfaction most. Share comments with staff, praise included, and pick one change each quarter. Telling customers what changed, with a sign at the counter, encourages more of them to respond next time.
How many customers need to respond?
Enough to see patterns rather than single opinions: a few dozen responses a month gives a useful picture for most pharmacies. Look at trends over several months and split results by what the customer came in for before drawing conclusions, since a busy flu season can change wait times for reasons that have nothing to do with the team.
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On writing the questions themselves, read How to collect customer feedback: five channels compared. For everything the builder can do, see the form maker. Step by step: Create a conversational form with AI, then View, export and manage your responses.
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