North East London Local Pharmaceutical Committee


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Patient Q

MURs > Forms & Templates

Anonymous Patient Questionnaire:

1. Did the pharmacist explain what the review was for?
Yes/No

2. Was the information provided useful for you?
Yes/No

3. Did you learn anything new?
Yes/No

4. Did the pharmacists explain things so that you understood them?
Yes/No

5. Did you feel you had enough time to talk through your medicines?
Yes/No

6. Were all of your medicines discussed?
Yes/No

7. Do you know what your medicines are all for now/what they do?
Yes/No

8. Is there anything else you would have liked to discuss about them?
Yes/No
(Please give details if yes)




9. Will you be changing the way you take your medicines now?
Yes/No

10. Any comments?


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