1 Are you aware that you can speak privately with a member of the pharmacy team to discuss health matters?

2 Do you know how to arrange to speak with pharmacy staff privately?

3 Do you know how we protect your privacy if we conduct consultations with you over the phone?

4 Are you able to easily access health advice from pharmacy staff or the pharmacy website?

5 How do you prefer to receive healthy living advice?

6 Have you ever been given advice about any of the following by the pharmacist or pharmacy staff on the phone or through online communication?

6a Stopping smoking

6b Healthy eating

6c Physical exercise

7 Do you feel comfortable communicating with the pharmacy staff about your health problems?

8 How satisfied are you with how quickly you are able to receive your prescriptions or any other NHS service?

9 Has the pharmacy been able to meet your health needs during the pandemic?

10 Are there some services you think we should prioritise over others in the pharmacy?

11 Finally, taking everything into account - the staff and the service provided - How would you rate the pharmacy?

12 If you have any comments about how the service from this pharmacy could be improved, please write them in here:

13a After you receive services or advice from us, we may retain some of your health information so that we’re best placed to help when you next visit the pharmacy. We always ensure this information is safely stored and kept absolutely confidential. Are you happy with our procedures?

13b In certain circumstances, the pharmacy may need to ask your consent to share your data with another healthcare professional to support your care. We will never pass on your health information without your express permission. Has the pharmacy ever asked for your consent like this?

13c Whenever the pharmacy has asked for your consent, do you feel that your wishes were respected?

14 How old are you?

15 Are you…