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  1. Surveys
  2. 2016
  3. September
  4. P
  5. Pharmacist
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Exit Survey
 
 
Dear Valued Respondent,
 
This questionnaire is part of a PhD thesis which has been designed to explore the positive role of pharmacists in Malaysia. Your valuable participation is really appreciated.
 
Please be assured that all feedback and information gathered will be kept confidential and will only be used for this study and for academic purposes only.
 
Instruction: This questionnaire consists of four (4) sections. Please read the questions carefully before answering them. Where appropriate,  Click the answer in the space provided. Please answer ALL questions.
 
Thank you for your participation.
 
Name: Sandy Ow
Matric No: GS 38932
Email: [email protected]
 
 
 
 
Kindly fill in the information below. (For each question, tick only one box).
 
 
 
* Gender
 
Male
 
Female
 
 
 
* Age
   
 
 
 
Race
 
Malay
 
Chinese
 
Indian
 
 
Please click the number that you feel is most appropriate for each factor. Please use the following scale:

1 = Strongly Disagree, 2 = Disagree, 3 = Slightly Disagree, 4 = Neutral, 5 = Slightly Agree, 6 = Agree,

7 = Strongly Agree.
Strongly Disagree Disagree Slightly Disagree Neutral Slightly Agree Agree Strongly Agree
* Pharmacists do not do anything illegal or unethical.
* Pharmacists correctly teach me how to use drugs.
* Pharmacist who communicate with me clearly and completely, have my trust.
* I am confident of pharmacists’ counseling.
* Pharmacists care about me more than their own personal benefits.
* I am confident of pharmacists’ dispensing.
* Pharmacists who have been recommended by friends, neighbours or relatives, have my trust.
* Pharmacists pay attention to my problems.
* “Pharmacists whom I trust” – I always try to follow their advice.
* Pharmacists use easy language for counseling.
* I can tell pharmacists anything.
* Pharmacists can help me with my illnesses.
* I always follow pharmacists’ advice.
* Pharmacists keep my sensitive medical information private.
* Pharmacists should be the persons who make decisions about my medication.
 
 
Please click the number that you feel is most appropriate for each factor. Please use the following scale:

1 = Strongly Disagree, 2 = Disagree, 3 = Slightly Disagree, 4 = Neutral, 5 = Slightly Agree, 6 = Agree,

7 = Strongly Agree.
Strongly Disagree Disagree Slightly Disagree Neutral Slightly Agree Agree Strongly Agree
* Pharmacists address my health concerns.
* Pharmacists are professional in interaction.
* Pharmacists explain information in the way that I can understand.
* Pharmacists check if I understand.
* Pharmacists spend as much time as needed.
* Pharmacists make sure I understand the recommendations for using a drug.
* Pharmacists provide useful recommendations for taking my medicines.
* Pharmacists make recommendations for my overall health.
* Pharmacists work with me to manage my medicine related issues.
 
 
 
Thank You For Your Participation