Pharmaceutical Needs Assessment Public and patient Questionnaire

Closed 16 Jun 2024

Opened 20 May 2024


We would like to understand you experience of going to a pharmacy so that we can best plan for services going forward. The services we are looking at include local services that you receive from pharmacies (or chemists) and dispensing doctors. To do a good job, we need to regularly review what services we have, what our local people need, and how things might change in the future. This process is called a ‘pharmaceutical needs assessment’ and we are preparing this in Surrey at the moment.

Many people call them chemists but in this survey we use the word pharmacy. By a pharmacy, we mean a place you would use to get a prescription or buy medicines which you can only buy from a pharmacy or to talk to a pharmacist for advice about an illness that you may have or medicines that you take. We don’t mean the pharmacy at a hospital or the part of a pharmacy where you buy beauty products.

The preliminary results of this questionnaire will be published in the draft pharmaceutical needs assessment which Surrey County Council will consult on in Winter 2024/25. Full results will be published on Surrey-I in the final pharmaceutical needs assessment by Spring 2025.

Your views are important to us so please spare a few minutes to complete this questionnaire. There are a maximum 14 questions to answer about your experience of pharmacies and about you. We anticipate it will take you 10 to 15 minutes to complete.

We really would like and value your input, but if you don’t want to take part, please just ignore this questionnaire; your decision will not affect the care you receive from the NHS or your pharmacy in any way.

The questionnaire is anonymous; you don’t have to give your name and address. Any information you do give will not be linked to you.

Accessibility Statement

This online PNA consultation questionnaire is compatible with speech recognition software and screen readers. Alternative versions of this questionnaire (Screen Reader Accessible and Large Print versions) can be found at the bottom of this page under ‘related documents’.

Any questionnaires answered on the Screen Reader Accessible Microsoft Word version or the Large Print version may be emailed directly to Surrey County Council using this email address:

Or they may be printed and returned via post to:

Attention: PNA public health
Surrey County Council
Woodhatch Place, 11 Cockshot Hill

If you would like us to send you a printed version of the questionnaire in an accessible format, please email us on or text 02085 417976 and we will post a questionnaire out to you with a pre-paid envelope. 

If you need help to have your say, please ask someone you trust such as a support worker or carer. If you don’t have anyone to help you or if you have any queries about the PNA, or need a copy of the PNA or this questionnaire in hard copy or a different alternative format, please contact us and we will do our best to assist you:


SMS text number: 02085 417976

Telephone number: 02085 417976


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  • Users of Surrey pharmacies


  • Health and wellbeing