Pharmacy Customer Service Feedback Form

Improve Your Pharmacy's Customer Experience

Providing exceptional customer service is essential for any pharmacy looking to build trust, retain patients, and stand out in a competitive healthcare market. This Pharmacy Customer Service Feedback Form template helps you systematically collect feedback on every aspect of your service—from pharmacist consultations and prescription accuracy to wait times and overall satisfaction.

Why Feedback Matters for Pharmacies

Pharmacies play a critical role in patient care, and customer feedback provides invaluable insights into what's working and where improvements are needed. Whether you're an independent pharmacy, part of a chain, or a hospital-based pharmacy, understanding your customers' experiences helps you:

• Enhance pharmacist-patient interactions by identifying training opportunities
• Reduce prescription errors through process improvements
• Optimize wait times and staffing during peak hours
• Build patient loyalty by demonstrating that you value their input
• Meet compliance and quality standards with documented feedback

Designed for Healthcare Professionals

This template is tailored specifically for pharmacy managers, owners, and customer service teams. It captures feedback on key service touchpoints including:

• Pharmacist consultation quality and communication
• Prescription accuracy and error reporting
• Wait time satisfaction and service speed
• Staff friendliness and professionalism
• Facility cleanliness and accessibility
• Overall satisfaction and likelihood to recommend

Make Feedback Collection Effortless with Paperform

With Paperform, you can customize this template to match your pharmacy's branding, embed it on your website, share it via email or SMS, or even display it on a tablet at your pharmacy counter. The intuitive form builder lets you add conditional logic to ask follow-up questions based on responses, and built-in analytics help you spot trends quickly.

Need to take action on feedback? Connect this form to Stepper to automatically route negative feedback to managers for immediate follow-up, log responses in your CRM, or create tasks in your project management tool—no coding required.

For pharmacies committed to continuous improvement and patient-centered care, this feedback form template is your first step toward measurable service excellence.