Pharmacy Customer Service Survey
About this free form template

Improve Your Pharmacy Services with Customer Feedback

Understanding your patients' experiences is essential to running a successful pharmacy. This Pharmacy Customer Service Survey template helps you gather actionable feedback on every aspect of your service—from prescription accuracy and wait times to pharmacist consultations and medication counseling.

Whether you run an independent pharmacy, a chain location, or offer specialty pharmacy services, this survey gives you the insights you need to enhance patient satisfaction, streamline operations, and build lasting trust with your community.

What This Template Covers

This survey is designed specifically for pharmacy operations and includes questions on:

  • Pharmacist consultation quality and professionalism
  • Prescription filling accuracy and error rates
  • Wait times for prescriptions and in-store service
  • Insurance coordination and billing clarity
  • Medication counseling effectiveness and clarity
  • Delivery service satisfaction and timeliness
  • Overall customer experience and likelihood to recommend

Why Paperform for Pharmacy Surveys?

Paperform makes it easy to collect, analyze, and act on patient feedback:

  • Beautiful, on-brand surveys that patients actually want to complete
  • Conditional logic to ask follow-up questions based on responses
  • AI Insights to automatically summarize feedback themes and identify improvement areas
  • Seamless integrations with Google Sheets, Slack, and CRM tools to route feedback to your team
  • HIPAA-alternative workflows for handling sensitive feedback securely

Plus, with Stepper, you can automate follow-up actions—like alerting your pharmacy manager when a negative review comes in, sending thank-you emails to satisfied customers, or logging feedback into your quality management system.

Built for Pharmacies That Care About Patient Experience

This template is ideal for:

  • Independent and community pharmacies
  • Hospital and clinical pharmacies
  • Specialty and compounding pharmacies
  • Retail pharmacy chains
  • Mail-order and delivery pharmacies

Trusted by healthcare providers worldwide, Paperform is SOC 2 Type II and GDPR compliant, giving you the peace of mind that patient feedback is handled securely. Start using this template today to turn feedback into meaningful improvements that keep your patients coming back.

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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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