STUDY ON PHARMACY DISPENSING DELAY QUESTIONNAIRE INSTRUCTIONS Thank you for visiting the pharmacy.

You are kindly requested to spare few minutes for filling this questionnaire. Your valuable feedback on your experience about the pharmacy services you have received in this hospital. Please read each one carefully and tick the appropriate. All your feedback will be kept confidential.

Have you visited this pharmacy before

Yes

No

2 Whether you get all prescribed medicines from this pharmacy

Yes

No

Is there is delay in the pharmacy for getting medicines

Yes

No

Is there is delay for billing procedure in billing counter

Yes

No

What is the average waiting time for billing procedure? 10m-15m 20m-30m 30m-1hr

More than 1hr

What is the average waiting time for dispensing medicines from Pharmacy counters 10m-15m 20m-30m 30m-1hr

More than 1hr

7 8

Are you aware about the 24 hours pharmacy in this hospital Are you aware about HOTLINE PHARMACY in this hospital

Yes Yes

No No

Whether you have any complaints about past dealings in this Pharmacy Yes No

10

Are you satisfied with general behavior of staff in the pharmacy

Yes

No

11

The overall performance of service provided by pharmacy

Excellent Average Very Poor

Good Poor

12 If you have any comments about the improvement of services provided by the Pharmacy

Thank You