Win a free consultation by completing a brief online survey.

Pharmacist Consulting is a completely new area to medication management, and as mentioned before, it is a service to patients that is lacking in South Africa. Unfortunately, the service does come with some costs. This is a very brief survey to determine how much patients would be willing to pay for such a service. Please take a minute or two to complete the online survey. At the end of each month, one patient will be drawn to receive a free consultation from pharmacistonline.

 

 

Title: First name: Surname:

Your email address:

 
1. What disease/condition/ailment do you suffer from?:

 
2. For how long have you suffered from your current disease/condition/ailment?:

 
3. How well informed are you about your current disease/condition/ailment?:

 

 Well informed: Enough to get by:Not enough:
4. How informed are you about the current medicines that you take?:

 

 Well informed: Enough to get by:Not enough:
5. With reference to the services provided on this site, how much would you be willing to pay for the following services?;                     Full Consultation: R

Over the Counter Consultation:

Specific Question Consultation:

Thank you for completing the survey

Please don't forget to click the Submit button below!

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