1. Does your pharmacy currently provide immunization services?
2. What types of immunizations does your pharmacy provide? Check all that apply:
3. What patient population are you serving? Check all that apply:
4. When do you provide immunizations? Check all that apply:
5. What is the level of immunizations that you provide per year?
6.
7. Is there any collaborative practice between your pharmacy and a physician’s office?
8. Do you feel that the immunization services have enhanced the level of pharmacist care you provide for your patients and community?
9. Would you like to be contacted in the future about providing your pharmacy's contact information on a website for consumers about your immunization services?
10.
