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. 2009 Mar 15;7(2):88–93. doi: 10.4321/s1886-36552009000200004

Table 1.

Satisfaction with services questionnaire

  1. please rate the following services;

    (1=poor; 2=fair; 3=good; -4=excellent)

    nursing …..

    physician …..

    pharmacy educator …..

    overall …..

  2. Did you attend arthritis education in your pharmacy? Yes/No

  3. If yes, was it helpful? Yes/No

  4. How did the educators assist you? (Check all that apply)

    provided information

    supplied me with information materials

    demonstrated proper physical training techniques

    other

  5. If you did not find the educator helpful, why not?

  6. In the future, would you like access to an arthritis educator?

  7. How can we improve the education sessions?