Pharmacy Survey

Pharmacy Name*

City*

State*
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Your Name*

Your Title*

Your Email*

1. How familiar are you with the FLAVORx flavoring system?
 Very familiar
 Somewhat familiar
 Not familiar at all

2. How often do you or your pharmacy technicians flavor reconstituted medicines at your pharmacy?
 Most of the time
 Sometimes
 Once in a while
 Never

3. You are more likely to:
 ask the customer if they want the medicine flavored.
 get customer requests for scripts to be flavored.

4. What is the main reason you do NOT flavor all the reconstituted medicines?

5. In your opinion, what are the main benefits for flavoring scripts?

6. For each of the following please tell us how important each would be in motivating you to flavor more often? Please rate each factor on a scale of 1 to 10, with 10 representing the highest level of motivation for you to flavor more often, and 1 representing the least level of motivation.
12345678910 Flavoring goals set by my management
12345678910 Scientific studies that demonstrate flavoring improves pediatric compliance
12345678910 Automated streamlined flavoring process (less time)
12345678910 Pediatrician recommends flavoring on the prescription
12345678910 Customers ask to have their medication flavored
12345678910 An incentive to flavor, either monetarily or through recognition
12345678910 Better training on how to promote and use flavoring
12345678910 Higher visibility to your Pharmacy ‘s flavoring numbers