HLP Questionnaire

Healthy Living Pharmacy Questionnaire

* Indicates required field

Name *

First

Last

Email *

Pharmacy Name *

Contact No *

Does your pharmacy have a HLP Champion? *

Yes No

Has a Pharmacist or Key member of your pharmacy completed Leadership training? *

Yes No

Have you claimed your HLP QP? *

Yes No

Would you like the LPC to re-arrange the face to face HLP Champion Training? *

Yes No

Do you have any further comments for your LPC to consider regarding HLP? *

Submit

Gateshead & South Tyneside Local Pharmaceutical Committee 2016