---
title: Pharmacy Medication Therapy Management Research Form Template | Paperform
description: Gather patient insights on MTM enrollment, consultation value, medication review preparation, and insurance billing transparency with this professional pharmacy research form template.
url: "https://paperform.co/templates/pharmacy-medication-therapy-management-research"
type: static
generatedAt: "2026-03-28T00:44:48.159Z"
---

[← Back to free form templates](/templates/)    ![Pharmacy Medication Therapy Management Research](https://img.paperform.co/fetch/f_webp/https://d3gw2uv1ch7vdq.cloudfront.net/content/form_templates/assets/pharmacy-medication-therapy-management-research.png)
    [Preview](https://_preview.paperform.co/ai-template/pharmacy-medication-therapy-management-research) [Use this template for free](/create?ai-template=pharmacy-medication-therapy-management-research)    [Discovery & Research Forms](/templates/category/discovery-research/) [Healthcare](/templates/industry/healthcare/)[Pharmacy](/templates/industry/pharmacy/)[Research](/templates/industry/research/) [Pharmacist](/templates/role/pharmacist/)[Healthcare Administrator](/templates/role/healthcare-admin/)[Researcher](/templates/role/researcher/)[UX Designer](/templates/role/ux-designer/)     About this free form template
### Understanding Patient Perspectives on Medication Therapy Management Services

Medication Therapy Management (MTM) is a critical healthcare service that helps patients optimize their medication use, reduce adverse effects, and improve health outcomes. However, many patients remain unaware of MTM services, uncertain about their value, or confused about insurance coverage and billing practices.

This **Pharmacy Medication Therapy Management Research Form** is designed to help pharmacy teams, healthcare researchers, and UX professionals gather meaningful insights into patient understanding, expectations, and barriers around MTM enrollment and consultation services.

#### Why This Research Matters

As pharmacy services evolve beyond traditional dispensing, understanding patient perspectives becomes essential for:

 - **Improving enrollment rates** by identifying common barriers and misconceptions
 - **Enhing service communication** to better convey the value of MTM consultations
 - **Streamlining the patient experience** from initial awareness through consultation completion
 - **Addressing billing transparency concerns** that may prevent patients from engaging with services
 - **Tailoring medication review processes** to meet patient preparation needs and preferences

#### What This Form Template Captures

This research template is structured to gather comprehensive feedback across four key dimensions:

**Awareness and Understanding**: Explore what patients currently know about MTM services, how they learned about them, and what questions remain unanswered.

**Perceived Value**: Understand how patients evaluate the benefits of medication consultations, what outcomes they expect, and what would make them more likely to enroll.

**Preparation and Engagement**: Identify how patients prefer to prepare for medication reviews, what information they need in advance, and what format works best for their lifestyle.

**Insurance and Billing Transparency**: Uncover patient concerns about costs, coverage, and billing practices that may create hesitation or confusion.

#### How Paperform Enhances Pharmacy Research

Traditional survey tools often feel clinical and impersonal, leading to lower completion rates and surface-level responses. Paperform transforms this research experience into something more engaging and human:

 - **On-brand, professional design** that reflects your pharmacy or healthcare organization's visual identity, building trust from the first question
 - **Conditional logic** that adapts questions based on previous answers, creating a personalized interview experience without overwhelming respondents
 - **Multiple question formats** including rating scales, matrix questions, and open-ended responses to capture both quantitative and qualitative insights
 - **AI-powered analysis** through AI Insights that can identify patterns, themes, and sentiment across hundreds of responses without manual coding

#### Streamline Your Research Workflow with Stepper

Once you've collected valuable patient feedback, the real work begins: analyzing responses, sharing insights with stakeholders, and taking action. With [Stepper](https://stepper.io), you can automate your entire research workflow:

 - **Automatically categorize responses** by patient demographics, insurance status, or medication complexity
 - **Create summary reports** that route to pharmacy managers, UX teams, or clinical leadership
 - **Trigger follow-up communications** to thank participants or invite them to usability testing sessions
 - **Sync data to research tools** like Airtable, Notion, or your preferred analytics platform
 - **Flag priority responses** that require immediate attention or indicate urgent patient concerns

#### Ideal for Multiple Healthcare Contexts

While designed specifically for pharmacy MTM research, this template adapts beautifully for:

 - **Community pharmacies** evaluating new clinical service offerings
 - **Hospital pharmacy systems** researching outpatient consultation programs
 - **Pharmacy benefit managers** understanding member perspectives on medication management
 - **Healthcare UX teams** conducting user research for pharmacy service platforms
 - **Telehealth pharmacy services** gathering feedback on virtual MTM consultations
 - **Pharmaceutical companies** researching patient support program design

#### Best Practices for Pharmacy Research

To maximize the value of your research:

**Recruit Diverse Participants**: Ensure your sample includes patients across different age groups, medication regimens, insurance types, and health literacy levels.

**Offer Incentives Thoughtfully**: Consider small gift cards or pharmacy discounts to thank participants for their time while maintaining research integrity.

**Maintain HIPAA Awareness**: While this form is designed for general research (not protected health information), always review your organization's compliance requirements before collecting any patient data.

**Follow Up Meaningfully**: Use insights to create tangible improvements, then close the loop by communicating changes back to participants.

**Test Iteratively**: Use this research to inform pilot programs, then gather feedback again to continuously refine your MTM services.

#### The Paperform Advantage for Healthcare Teams

Healthcare professionals choose Paperform because it combines enterprise-grade security with small-team simplicity:

 - **SOC 2 Type II compliance** ensures your research data is protected to institutional standards
 - **No-code customization** means your pharmacy team can launch research without waiting on IT or developers
 - **Mobile-optimized design** reaches patients wherever they are—waiting rooms, homes, or on the go
 - **Real-time analytics dashboard** provides immediate visibility into response patterns and completion rates

Whether you're a pharmacy director exploring new clinical services, a UX researcher studying healthcare experiences, or a quality improvement specialist gathering patient feedback, this template provides a professional foundation for meaningful discovery research.

Start gathering insights today, and use what you learn to create medication therapy management services that patients actually want to use—services that are clear, valuable, and accessible to everyone who could benefit from them.
       Built for growing businesses, trusted by bigger ones.   Trusted by 500K+ business owners and creators, and hundreds of millions of respondents.     ![Capterra - 4.8 out of 5](/images/capterra-st.jpg)
 ![Trustpilot - 4.8 out of 5](/images/trustpilot-st.jpg)
 ![G2 - 4.8 out of 5](/images/g2-st.jpg)
  [Try Paperform free now](/register)
## More templates like this
  [![Allied Health Referral Coordination Research](https://img.paperform.co/fetch/f_webp/https://d3gw2uv1ch7vdq.cloudfront.net/content/form_templates/assets/allied-health-referral-coordination-research.png)

### Allied Health Referral Coordination Research

A UX research form to gather insights on specialist availability, appointment urgency, and medical record transfer efficiency in allied health referral coordination workflows.](/templates/allied-health-referral-coordination-research/)
[![Alternative Medicine Practitioner Booking Research Form](https://img.paperform.co/fetch/f_webp/https://d3gw2uv1ch7vdq.cloudfront.net/content/form_templates/assets/alternative-medicine-practitioner-booking-research-form.png)

### Alternative Medicine Practitioner Booking Research Form

Conduct user research on how patients select and book alternative medicine practitioners, exploring decision factors around treatment modalities, credentials, and insurance coverage.](/templates/alternative-medicine-practitioner-booking-research-form/)
[![Care Coordination Platform Family Research Study](https://img.paperform.co/fetch/f_webp/https://d3gw2uv1ch7vdq.cloudfront.net/content/form_templates/assets/care-coordination-platform-family-research-study.png)

### Care Coordination Platform Family Research Study

A comprehensive UX research form for understanding family member collaboration needs, information sharing preferences, and task management clarity in care coordination platforms.](/templates/care-coordination-platform-family-research-study/)
[![Clinical Trial Patient Recruitment Portal Research Form](https://img.paperform.co/fetch/f_webp/https://d3gw2uv1ch7vdq.cloudfront.net/content/form_templates/assets/clinical-trial-patient-recruitment-portal-research-form.png)

### Clinical Trial Patient Recruitment Portal Research Form

A comprehensive research form to gather patient feedback on clinical trial recruitment experiences, focusing on eligibility screening, informed consent, and appointment scheduling processes.](/templates/clinical-trial-patient-recruitment-portal-research-form/)
[![Healthcare Cost Estimator Tool Research](https://img.paperform.co/fetch/f_webp/https://d3gw2uv1ch7vdq.cloudfront.net/content/form_templates/assets/healthcare-cost-estimator-tool-research.png)

### Healthcare Cost Estimator Tool Research

A user research form designed to evaluate perceptions of healthcare cost estimator accuracy, insurance calculation confidence, and out-of-pocket expectations for UX teams developing pricing transparency tools.](/templates/healthcare-cost-estimator-tool-research/)
[![Healthcare Patient Portal Usability Research Form](https://img.paperform.co/fetch/f_webp/https://d3gw2uv1ch7vdq.cloudfront.net/content/form_templates/assets/healthcare-patient-portal-usability-research-form.png)

### Healthcare Patient Portal Usability Research Form

A comprehensive UX research form designed to evaluate patient portal usability, assess accessibility needs, measure task success rates, and understand digital literacy levels for healthcare technology improvement.](/templates/healthcare-patient-portal-usability-research-form/)
[![Healthcare Quality Rating Interpretation Research](https://img.paperform.co/fetch/f_webp/https://d3gw2uv1ch7vdq.cloudfront.net/content/form_templates/assets/healthcare-quality-rating-interpretation-research.png)

### Healthcare Quality Rating Interpretation Research

A comprehensive UX research form to understand how patients interpret healthcare quality ratings, assess metric relevance, evaluate comparison methodologies, and identify decision-making factors.](/templates/healthcare-quality-rating-interpretation-research/)
[![Home Health Aide Scheduling Portal - Family Research Survey](https://img.paperform.co/fetch/f_webp/https://d3gw2uv1ch7vdq.cloudfront.net/content/form_templates/assets/home-health-aide-scheduling-portal-family-research-survey.png)

### Home Health Aide Scheduling Portal - Family Research Survey

A comprehensive research survey to understand family and caregiver needs for home health aide scheduling, consistency preferences, task verification, and emergency backup coordination.](/templates/home-health-aide-scheduling-portal-family-research-survey/)
[![Hospice Care Family Communication Portal Research Survey](https://img.paperform.co/fetch/f_webp/https://d3gw2uv1ch7vdq.cloudfront.net/content/form_templates/assets/hospice-care-family-communication-portal-research-survey.png)

### Hospice Care Family Communication Portal Research Survey

A user research form designed to gather insights from hospice care families about their experiences with care plan visibility, provider communication, and advance directive documentation.](/templates/hospice-care-family-communication-portal-research-survey/)
[![Medical Device Patient Onboarding Research Form](https://img.paperform.co/fetch/f_webp/https://d3gw2uv1ch7vdq.cloudfront.net/content/form_templates/assets/medical-device-patient-onboarding-research-form.png)

### Medical Device Patient Onboarding Research Form

Gather actionable insights from patients about their medical device onboarding experience, setup clarity, troubleshooting resources, and reorder process efficiency.](/templates/medical-device-patient-onboarding-research-form/)
[![Medical Equipment Rental Agreement Research Form](https://img.paperform.co/fetch/f_webp/https://d3gw2uv1ch7vdq.cloudfront.net/content/form_templates/assets/medical-equipment-rental-agreement-research-form.png)

### Medical Equipment Rental Agreement Research Form

Gather user insights on medical equipment rental experiences, insurance coverage challenges, delivery preferences, and return process expectations to improve service design.](/templates/medical-equipment-rental-agreement-research-form/)
[![Pharmacy Prescription Refill App - Senior User Research](https://img.paperform.co/fetch/f_webp/https://d3gw2uv1ch7vdq.cloudfront.net/content/form_templates/assets/pharmacy-prescription-refill-app-senior-user-research.png)

### Pharmacy Prescription Refill App - Senior User Research

Research form for gathering insights from senior users about a prescription refill app, including medication reminder preferences, readability needs, and caregiver involvement.](/templates/pharmacy-prescription-refill-app-senior-user-research/)