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Service Feedback

Which Roulston's Pharmacy store/location did you visit?

When did you visit Roulston's Pharmacy? / /

What was the purpose of your visit?

Was the service received provided to you in an accessible manner? Yes No

Did you encounter difficulties accessing goods or services at Roulston's Pharmacy? Yes No

Which staff member(s)/department(s) were involved?

Was the service timely? Yes No

Was the service provided in a fair and consistent manner? Yes No

Can you suggest methods of improving our service to you? Yes No

Please add any other comments you may have

Contact Information If you wish to be contacted by management, please provide your contact information.

Name :

Mailing Address :

Postal Code :

Telephone :

Email :

Date : / /

Time :