# Pharmacy collection notice survey

Improve medicine-collection administrative notices.

If nothing was unclear or difficult, say so. Skip questions about steps you did not experience; use not applicable where appropriate.

## 1. What collection status did you understand?

Answer: ____________________

## 2. Which opening detail was unclear?

Answer: ____________________

## 3. What contact instruction was missing?

Answer: ____________________

## Author notes / illustrative keys where applicable

1. Read for status comprehension. Keep the specific explanation in the respondent’s own words rather than converting it into an unexplained overall satisfaction score.
2. Read for opening clarity. Keep the specific explanation in the respondent’s own words rather than converting it into an unexplained overall satisfaction score.
3. Read for contact gap. Keep the specific explanation in the respondent’s own words rather than converting it into an unexplained overall satisfaction score.

Interpretation caution: Do not ask about medicines or conditions.