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Pharmacy survey template

Hear how the counter went, from a QR code on the receipt

Four questions for after a pharmacy visit: overall satisfaction, how long customers waited, whether the instructions for their medicine were clear and what to improve. Print the QR code on the receipt or the bag, and Usertick reads every written answer for you.

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What this pharmacy survey tells you

A pharmacy satisfaction survey asks customers about the visit around the prescription: the line, the counter and how well the pharmacist explained how to take the medicine. This template asks four questions in under a minute and never asks what the medicine was.

It is written for a QR code on the receipt, the bag or a sign by the counter, which opens the hosted survey page in the customer's phone browser. The same link works in your own pickup emails and on your website, and Usertick email can send it to a contact list.

Results shows the satisfaction average and the share who rated 4 or 5, the median wait with the middle half of answers, and the share who found the instructions clear. Every written answer is read as it arrives and filed under a category such as waiting times or staff and communication, with a type and an urgency.

As a linkOn your websiteIn an emailAs a conversation
Questions
4
Time to answer
About a minute
Written for
After the visit, from a QR code on the receipt or the bag
Plans
Every plan, the free plan included

See it on every channel

The same template on your website, behind a link, in an email and as a conversation.

The 4 questions, one by one

What each question asks, why it is there, what it shows you and what to change.

Question 1 of 4 · Stars

How satisfied were you with your visit today?

Why ask it
One overall rating opens the survey and gives each store a number to follow week by week. A tap on a 5-point scale is easy to do standing at the counter or on the way to the car.
What you learn
The average, a bar per rating and the share who rated 4 or 5, against the period before. Select the low ratings to read what those customers wrote in the last question.
Make it yours
Keep it first, since a single tap is the easiest way into a survey opened from a QR code.
Question 2 of 4 · Ruler · Optional

How long did you wait to be served?

Why ask it
A slow line can spoil a visit that went well at the counter. A ruler from no wait to 30 minutes or more lets customers drag to roughly how long it felt, without choosing from bands.
What you learn
The median wait and the middle half of answers drawn over the scale, compared with the period before, so a change in staffing shows up as a shorter or longer wait.
Make it yours
Keep the open top end at 30+ min, or raise it if your waits run longer at busy times of day.
Question 3 of 4 · Yes / No

Were the instructions for your medicine clear?

Why ask it
A clear explanation is part of the service at the counter, and a No is a conversation the pharmacist can have differently next time. The question asks about the explanation, never about the medicine itself.
What you learn
The share that said yes, against the period before. Select No to see whether those customers also waited longest.
Make it yours
Leave the name of the medicine out of the label, so customers have no reason to type it.
Question 4 of 4 · Text · Optional

Is there anything we could do better?

Why ask it
The open question catches what a rating can't: the line system, opening hours, an item that was out of stock or a pharmacist who took extra time.
What you learn
Each answer with its sentiment and theme, filterable by theme, with up to 8 themes and their trends. Usertick also marks each one as a complaint, an idea or praise and flags the urgent ones.
Make it yours
Write a placeholder that points to the wait, the counter and the store, and asks customers to leave out their name and their medicine.

What the answers show

Results turns each question into numbers you can follow week by week.

How satisfied were you with your visit today?

The average rating and the share who gave 4 or 5 stars, against the period before.

Every written answer, read for you

Each answer arrives with its category, theme, type and urgency, so the urgent ones reach your team first.

Use this template in four steps

From the template to the first answers.

  1. 1

    Open the template

    Sign up free and pick Pharmacy visit in the template gallery. It opens in a matching style, ready to change.

  2. 2

    Make the questions yours

    Reword any question, change the options, and add logic or more questions.

  3. 3

    Choose where it runs

    Show it on your website, send it by email, share its link and QR code, or switch it to a conversation.

  4. 4

    Publish and read the answers

    Answers arrive in Results and the inbox as people send them, each written one read and filed by Usertick.

Tips for this survey

Small choices that keep people answering and the answers useful.

  1. 01

    Give each store its own survey

    Results doesn't split answers by the tag on a link, so make one survey per store, or add a question that names the store, before you print the codes.

  2. 02

    Put a code where people wait

    A sign by the line reaches customers who throw the receipt away. Tag that link with ?utm_source=sign, so each answer keeps where it came from in workflows and Google Sheets.

  3. 03

    Keep medicines out of the answers

    Ask about the visit and the explanation, never which medicine or what it is for. Usertick's terms don't allow medical details in surveys, and Usertick doesn't sign business associate agreements.

  4. 04

    Hand complaints to the manager

    Give each complaint an owner and a status in the inbox, and let a workflow post ratings of 1 or 2 to the store's Slack or Microsoft Teams channel.

CSAT surveysPatient satisfaction surveysLink and QR code surveysUrgent care visits questions

More satisfaction templates and questions

Templates like this one, and single questions from the library to add to it.

Templates

Browse all templates
CSATAppointment experienceLearn how patients experienced a visit, from booking and waiting to how clearly things were explained and what happens next. Send it the same day, and keep it free of medical details.
CSATDental visitLearn how patients rated their dental visit, from comfort in the chair to how clearly costs were explained. Send it the same day.
CSATPhysical therapy sessionCheck how patients feel after a session and whether their home exercises and treatment plan are clear. Send it an hour after each session.
CSATEmergency visitLearn how patients experienced an emergency visit: waiting, respect, pain management and discharge. Send it two days after discharge.

Questions from the library

Browse the question library
  1. How many hours were you there in total?Ruler · Urgent care visits
  2. How did you decide to come in?Multiple choice · Urgent care visits
  3. Were you told how long the wait would be?Yes / No · Urgent care visits
  4. Was your issue resolved?Yes / No · Support
  5. How much effort did it take to get help?Customer effort · Support
  6. How could we have handled this better?Text · Support

Frequently asked questions

They scan the QR code on the receipt, the bag or a sign, and the survey opens on a hosted page in their phone browser. They don't need to install anything.

Right after the visit, while the wait is fresh. A code on the receipt or the bag reaches them on the way out or at home the same day.

Few enough to finish on a phone in a minute. This template asks four, and only the rating and the instructions question are required.

Yes, by link or QR code. Turn on anonymous responses and Usertick stores no user ID, traits or visitor ID with the answers, keeping only the country and a salted hash of the IP address.

Yes, with one survey per store or a question that names the store. Starter includes three dashboards and Pro and up include unlimited dashboards, so each store can have a board of its own.

Yes. Every template comes with every plan, the free plan included, and the free plan covers 150 responses a month across your surveys.

Yes. The template becomes your own survey, so reword any question, add or remove questions, and change the options and the logic. The gallery stays as it is.

Yes, from Starter. The template is written in US English. Add languages by hand or with AI translation, and each person sees the survey in their browser's language.

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