Ash Parish Pharmacy
  • “PLEASE NOTE:- Thank you for filling the form. The data we gather in this form will only be used to determine use of and views of pharmaceutical services in the Ash/ Ash vale area. We have asked for your name and address to ensure there is no duplication of forms and that you live in the relevant area.  The data may be shared with NHS Resolution (the appeal body) and parties opposing our application but will be anonymised before it is shared. Your data will be deleted after the appeal process. Thank you.”
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Email *
1) Please select your age category  or if you collect medicine for someone else, what is their age? *
2) Do you have a disability?  *
3) Do you consider you have a reasonable choice of pharmacy where you live?  Yes/No
If No (please specify), what are the difficulties you face. 
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4) Do you have any difficulty in obtaining pharmaceutical services that you need?  Yes/No *
If Yes (please specify), please explain the difficulty.  
5) Is your nearest pharmacy open at the times you need?  Yes/No
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  If No (please specify) what is the difficulty with opening hours that you have experienced  
6)  How do you get to your nearest pharmacy?  
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7) In your opinion, would a new pharmacy at the location above provide a significant benefit for the local community? 
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8) Do you have any other comments about the current provision of pharmaceutical services in your area?  
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Please enter your details? please give your name, address, postcode and GP surgery. 

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