Pharmacy Customer Experience & Service Preference Survey
About this free form template

Improve Your Pharmacy Services with Customer Insights

Understanding your customers' needs and preferences is essential for running a successful pharmacy. This Pharmacy Customer Experience & Service Preference Survey template helps you gather actionable feedback on prescription refill convenience, consultation services, delivery options, and loyalty program appeal.

Why This Survey Matters for Your Pharmacy

Whether you're an independent community pharmacy or part of a healthcare network, this survey template helps you:

  • Measure satisfaction with prescription refill processes and waiting times
  • Identify demand for enhanced services like medication consultations and health screenings
  • Evaluate delivery and digital service preferences in today's convenience-driven market
  • Test loyalty program concepts before launch to maximize engagement
  • Discover pain points in the customer journey and prioritize improvements

Built for Pharmacy Professionals Who Care About Service Quality

This template is designed for pharmacists, pharmacy managers, healthcare administrators, and customer experience teams who want to make data-driven decisions about service improvements. The questions cover the full customer experience—from prescription management to staff interactions—giving you a complete picture of where you excel and where there's room to grow.

Automate Your Feedback Workflow with Stepper

Once responses come in, you can use Stepper to automatically route feedback to the right team members, flag urgent issues, update your CRM with customer preferences, or trigger follow-up communications. No manual spreadsheet work required—just clean, actionable insights that help you serve your community better.

Professional, On-Brand Surveys That Get Responses

Built with Paperform's intuitive editor, this template creates a welcoming, accessible survey experience that reflects your pharmacy's commitment to care. Customize the design, add your branding, and share via email, SMS, or embed on your website to reach customers where they are.

Start gathering the insights you need to deliver exceptional pharmacy care and build lasting customer relationships.

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Kenyon.png
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avallain-logo-svg-160-px.png
axa-768.png
danone-2.png
deloitte-1.png
logo_andorra_telecom_df137f1a8f.png
michelin-4.png
raywhite.png
suncorp-logo-358x104.png
unesco.png
Bitmap.png
HIR.png
HKTB-logo.png
Kenyon.png
Rice_University_Horizontal_Blue.png
accor-3.png
adp-1.png
avallain-logo-svg-160-px.png
axa-768.png
danone-2.png
deloitte-1.png
logo_andorra_telecom_df137f1a8f.png
michelin-4.png
raywhite.png
suncorp-logo-358x104.png
unesco.png
Bitmap.png
HIR.png
HKTB-logo.png
Kenyon.png
Rice_University_Horizontal_Blue.png
accor-3.png
adp-1.png
avallain-logo-svg-160-px.png
axa-768.png
danone-2.png
deloitte-1.png
logo_andorra_telecom_df137f1a8f.png
michelin-4.png
raywhite.png
suncorp-logo-358x104.png
unesco.png
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