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Uniprix P. Bergeron et M. Sgro, Kirkland
YOUR OPINION REALLY MATTERS TO US
*
1.
How did you hear about this survey?
(Required.)
An employee told me about it.
I got an ad at the checkout.
I saw the badge on an employee's uniform.
I saw the ad on a pharmacy TV.
I saw the ad on Facebook.
*
2.
Please enter below the date and time of your last trip to the pharmacy:
(Required.)
Date and time of last trip
Date
January
February
March
April
May
June
July
August
September
October
November
December
1900
1901
1902
1903
1904
1905
1906
1907
1908
1909
1910
1911
1912
1913
1914
1915
1916
Su
Sunday
Mo
Monday
Tu
Tuesday
We
Wednesday
Th
Thursday
Fr
Friday
Sa
Saturday
01
02
03
04
05
06
07
08
09
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
26
27
28
29
30
31
Hour
Time
:
Minutes
AM/PM
-
AM
PM
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3.
In which department did you spend the most time?
(Required.)
Prescriptions
Cosmetics
Other sections (miscellaneous products)
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4.
How long was it before you got help from an employee?
(Required.)
I was helped immediately
I was helped within a reasonable time
I had to wait a long time
*
5.
Also concerning
your most recent trip
to the pharmacy...
(Required.)
I was greeted with a smile in all departments.
OUI
NON
N/A
I received the help I needed to find a product, get some advice or get an answer to a question.
OUI
NON
N/A
I was offered help spontaneously when I was looking for a product in the aisles.
OUI
NON
N/A
The employees took the time to walk me to the product I was looking for.
OUI
NON
N/A
The employees answered my questions in a competent manner.
OUI
NON
N/A
*
6.
Please answer the following questions about your last trip to the pharmacy using a scale from 1 to 10, where 10 means "Excellent" and 1 means "Poor".
The atmosphere of the store is welcoming (lighting, displays, music).
(Required.)
1 = Poor
2
3
4
5
6
7
8
9
10 = Excellent
1 = Poor
2
3
4
5
6
7
8
9
10 = Excellent
*
7.
The store is clean at all times (floors, shelves, etc.)
(Required.)
1 = Poor
2
3
4
5
6
7
8
9
10 = Excellent
1 = Poor
2
3
4
5
6
7
8
9
10 = Excellent
*
8.
All products are available.
(Required.)
1 = Poor
2
3
4
5
6
7
8
9
10 = Excellent
1 = Poor
2
3
4
5
6
7
8
9
10 = Excellent
*
9.
Employees look professional and address me respectfully.
(Required.)
1 = Poor
2
3
4
5
6
7
8
9
10 = Excellent
1 = Poor
2
3
4
5
6
7
8
9
10 = Excellent
*
10.
Employees take my needs seriously and do not let themselves be distracted (i.e. by a cell phone).
(Required.)
1 = Poor
2
3
4
5
6
7
8
9
10 = Excellent
1 = Poor
2
3
4
5
6
7
8
9
10 = Excellent
*
11.
At the
prescription counter...
(Required.)
YES
NO
n/a
I felt that my case was dealt with in a confidential manner.
YES
NO
n/a
Employees took the time to listen to me and made me feel like they valued me as a client.
YES
NO
n/a
*
12.
On a scale of 1 to 10,
how would you rate your experience with the pharmacist?
(Required.)
1 = Poor
2
3
4
5
6
7
8
9
10 = Excellent
n/a
1 = Poor
2
3
4
5
6
7
8
9
10 = Excellent
n/a
*
13.
On a scale of 1 to 10, how would you rate
the waiting time between the moment you arrived at the counter and the moment you paid at the cash?
(Required.)
1 = Poor
2
3
4
5
6
7
8
9
10 = Excellent
n/a
1 = Poor
2
3
4
5
6
7
8
9
10 = Excellent
n/a
*
14.
Approximately
how long did you wait?
(Required.)
3 minutes or less
4-6 minutes
7-10 minutes
11-14 minutes
15 minutes or more
N/A
*
15.
In the current context, we are doing everything to ensure the safety of our employees and our patients. This is why we have implemented several hygiene measures. During your last visit, on a scale of 1 to 10, how do you rate your sense of security?
(Required.)
1 = Poor
2
3
4
5
6
7
8
9
10 = Excellent
n/a
1 = Poor
2
3
4
5
6
7
8
9
10 = Excellent
n/a
16.
If you have any other suggestions or comments to help us improve our hygiene measures, please let us know.
*
17.
Have you had a chance to experience our delivery service lately? If so, how would you rate your overall experience (ordering, waiting, safe receipt)?
(Required.)
I called the pharmacy to place an order and it was quick and easy.
OUI
NON
N/A
An employee answered me competently.
OUI
NON
N/A
The employee took the time to listen to me and ensure my satisfaction.
OUI
NON
N/A
I called at pharmacy and received my delivery the same day.
OUI
NON
N/A
The deliverer was professional and respected the distancing measures.
OUI
NON
N/A
How can we adapt better us to serve you and meet your expectations?
*
18.
On a scale of 1 to 10, where 1 is the worst possible pharmacy and 10 is the best,
how would you rate your pharmacy?
(Required.)
1 = worst possible pharmacy
2
3
4
5
6
7
8
9
10 = Best possible pharmacy
1 = worst possible pharmacy
2
3
4
5
6
7
8
9
10 = Best possible pharmacy
*
19.
How likely is it that you recommend this pharmacy to a friend or a colleague?
(Required.)
1 = Not at all likely
2
3
4
5
6
7
8
9
10 = Very likely
1 = Not at all likely
2
3
4
5
6
7
8
9
10 = Very likely
20.
Based on the rating above, what are the reasons that motivate you to recommend us to a friend or, on the contrary, not to recommend our services?
*
21.
Finally, here are a few questions that will help us group your answers with those of other participants.
Are you:
(Required.)
Male
Female
I prefer not to answer
*
22.
Which age group do you fall into?
(Required.)
Less than 18 years old
18-29 years old
30-44 years old
45-59 years old
60 years old or more
I prefer not to answer
*
23.
Which of the following statements best describes your current professional situation?
(Required.)
Full-time employee
Part-time employee
Currently unemployed or looking for employment
Retired
Student
I prefer not to answer
*
24.
What was your HOUSEHOLD revenue last year?
(Required.)
Less than $30,000
$30,000 to $49,999
$50,000 to $69,999
$70,000 to $99,999
$100,000 to $149,999
$150,000 or more
I prefer not to answer
*
25.
Would you like to enter a draw to win a 100$ Uniprix gift card?
(Required.)
YES
NO
