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Exit Survey
 
 
What type of pharmacy are you?
 
Chain
 
Independent
 
Mail Order
 
Compounding
 
Specialty
 
Other
 

 
 
 
What zip code is your pharmacy located at?
   
 
 
 
Do you currently have a medication synchronization program available for patients?
 
Yes
 
No
 
 
 
If you answered no to question 2 or if you have not considered implementing such a program, what has deterred you from implementing a medication synchronization program?
 
Time Requirements
 
Technology Requirements
 
Lack of patient interest
 
Lack of patient need
 
Other
 

 
 
 
If you do currently have a medication synchronization program, how does it fit into your normal procedures?
 
Part of the regular computer program
 
Separate computer program
 
Paper based calendar synchronization
 
Manual synchronization by pharmacy staff
 
Other
 

 
 
 
If you do currently have a medication synchronization program, how do patients sign up for the program?
 
Signing a form
 
Online
 
Verbal Request
 
Other
 

 
 
 
If you do currently have a medication synchronization program, what benefits have you seen for patients?
 
Refills on time
 
Patients verbalized understanding of medication and administration
 
Fewer trips to the pharmacy
 
Fewer phone calls with questions
 
Verbal satisfaction
 
Other
 

 
 
 
If you do currently have a medication synchronization program, what disadvantages have you seen for patients?
 
Time to implement program
 
Insurance problems
 
Out of pocket costs
 
Frequent medication changes so difficult to remain synchronized
 
Other
 

 
 
 
If you do currently have a medication synchronization program, what benefits have you seen for the pharmacy?
 
Improved patient care
 
Improved time management
 
Fewer phone calls
 
Larger patient base
 
Increased revenue
 
Other
 

 
 
 
If you do currently have a medication synchronization program, what benefits have you seen for the pharmacy?
 
Improved patient care
 
Improved time management
 
Fewer phone calls
 
Larger patient base
 
Increased revenue
 
Other
 

 
 
 
If you do currently have a medication synchronization program, what benefits have you seen for the pharmacy?
 
Improved patient care
 
Improved time management
 
Fewer phone calls
 
Larger patient base
 
Increased revenue
 
Other
 

 
 
 
If you do currently have a medication synchronization program, what benefits have you seen for the pharmacy?
 
Improved patient care
 
Improved time management
 
Fewer phone calls
 
Larger patient base
 
Increased revenue
 
Other