Pharmacy & Dispensing Practitioner Inspection Program - Customer Satisfaction Survey


The Department of Health, Division of Medical Quality Assurance, would like to hear from you regarding your recent inspection. Your feedback will be used to measure our progress in improving customer service. By taking a few minutes to complete the survey, you will greatly assist us in serving you.

Note: All responses to this survey are confidential.

INSTRUCTIONS: Please select the answer that best describes your level of agreement.

1. What type of inspection was conducted?







2. Who conducted the inspection?
Name:

Inspector Code:

3. The Department personnel properly identified themselves.






4. The inspection was conducted in a professional manner.






5. Deficiencies or issues noted on the inspection form, if any, were explained in a clear and concise manner.






6. The information I received was useful.






7. Overall, the Department provided quality customer service.






9. Please provide any additional comments or suggestions on how we can improve our services.