For patients who are part of the NMS scheme, the pharmacist can use this questionnaire to support patients over several weeks and to discuss any concerns or problems linked to patients' medicine.
Invite message sent to patient:
Please complete this questionnaire as part of your new medicine review. Your answers will be reviewed by the pharmacist during a follow-up call.
Questions
1. Have you had the chance to start taking your new medicine yet?
Yes
No
2. Do you understand why you have been prescribed this medication?
Yes
No
Not Sure
3. Please describe how and when you take this medicine?
(Tell us if you have made any changes)
The patient can free-type their answer.
4. Are you getting any side effects from this medicine>
Yes
No
Not Sure
5. Do you have any concerns or questions about this medicine?
The patient can free-type their answer.
6. Have you missed any doses?
Yes
No
Not sure
7. Do you think the medication is working?
Yes
No
Not sure
8. Do you require any more information about this medication?
Yes
No
9. Do you want any information on healthy living?
(Multiple answer options)
10. Please tell us the best times to contact you
The patient can free-type their response.