Q1: I feel that I have adequate time to complete my job in a safe and effective manner.

Q2: I feel that my employer provides a work environment that allows for safe patient care.

Q3: I feel that my work environment has sufficient pharmacist staffing that allows for safe patient care.

Q4: I feel that my work environment has sufficient pharmacy technician staffing that allows for safe patient care.

Q5: I feel that inadequate staffing at my pharmacy results in delays in patients receiving medications in a timely manner.

Q6: I feel pressure by my employer or supervisor to meet standards or metrics that may interfere with safe patient care.

Q7: I feel that the workload to staff ratio allows me to provide for patients in a safe manner.

Q8: I am given the opportunity to take lunch breaks or other breaks throughout the workday.

Q9: I feel safe voicing any workload concerns to my employer.

Q10: What is your primary practice site?

Q11: What is your primary role in your work environment?

Q12: On average, how many hours do you work per shift?

Q13: On average, how many prescriptions or medication orders do you personally process per hour?

Q14: On average how many hours do you work per week?

Q15: How many years have you been a pharmacist?

Q16: If you believe you are unable to practice safely at your current pharmacy practice site, please select the reasons why (this question is optional – answer this question only if you believe you are unable to safely practice):

Q17: Any additional comments on this topic that you think would be helpful to the Board: