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Survey of Community Pharmacy Economic Health 2021

1. How would you rate the overall financial health of your business?

2. Is your business having a difficult time filling staff positions?

Please tell us which positions are most difficult to fill. Check all that apply.

Pharmacist
Pharmacy Technician
Clerk, front end staff
Delivery driver
Other - Write In Please enter an 'other' value for this selection.

How has your business been affected due to staffing shortages? Check all that apply.

Reduced pharmacy operating hours
Increased wages/offering employee incentive pay
Have had to turn patients away seeking immunizations
Prescription dispensing waiting times have increased
Other - Write In Please enter an 'other' value for this selection.

3. Has your business been impacted by supply chain disruptions?

List up to three products that are currently in short supply:

Option 1
Option 2
Option 3

4. How concerned are you that inflation will be an issue impacting your business in the near future?

5. How concerned are you that Congress will increase taxes on small businesses in the near future?

6. How concerned are you that DIR fees will be an issue impacting your business in the near future?

What measures will your pharmacy take if DIR fees are not reformed? Check all that apply.

Cut payroll
Reduce services
Reduce owner pay
Other - Write In Please enter an 'other' value for this selection.
Close Pharmacy

7. How concerned are you with PBM consolidation and vertical integration?

8. Please rank order the issues most important to the survival of your business.1= Most important issue impacting my business
6= Least important issue impacting my business Note: for the following table each column is restricted to a single answer across all rows.

	1	2	3	4	5	6
Filling staff positions	Rank Filling staff positions as 1 out of 6	Rank Filling staff positions as 2 out of 6	Rank Filling staff positions as 3 out of 6	Rank Filling staff positions as 4 out of 6	Rank Filling staff positions as 5 out of 6	Rank Filling staff positions as 6 out of 6
Shortages due to product supply disruptions	Rank Shortages due to product supply disruptions as 1 out of 6	Rank Shortages due to product supply disruptions as 2 out of 6	Rank Shortages due to product supply disruptions as 3 out of 6	Rank Shortages due to product supply disruptions as 4 out of 6	Rank Shortages due to product supply disruptions as 5 out of 6	Rank Shortages due to product supply disruptions as 6 out of 6
Inflation	Rank Inflation as 1 out of 6	Rank Inflation as 2 out of 6	Rank Inflation as 3 out of 6	Rank Inflation as 4 out of 6	Rank Inflation as 5 out of 6	Rank Inflation as 6 out of 6
Small business tax increases	Rank Small business tax increases as 1 out of 6	Rank Small business tax increases as 2 out of 6	Rank Small business tax increases as 3 out of 6	Rank Small business tax increases as 4 out of 6	Rank Small business tax increases as 5 out of 6	Rank Small business tax increases as 6 out of 6
DIR fees	Rank DIR fees as 1 out of 6	Rank DIR fees as 2 out of 6	Rank DIR fees as 3 out of 6	Rank DIR fees as 4 out of 6	Rank DIR fees as 5 out of 6	Rank DIR fees as 6 out of 6
PBM consolidation and vertical integration	Rank PBM consolidation and vertical integration as 1 out of 6	Rank PBM consolidation and vertical integration as 2 out of 6	Rank PBM consolidation and vertical integration as 3 out of 6	Rank PBM consolidation and vertical integration as 4 out of 6	Rank PBM consolidation and vertical integration as 5 out of 6	Rank PBM consolidation and vertical integration as 6 out of 6

9. Demographic Information (person filling out survey): *This question is required.

First Name

Last Name

Job Title

Pharmacy Name

City

State

Email Address This question requires a valid email address.

Zip This question requires a valid number format.

NCPDP This question requires a valid number format.

10. Select “Yes” to receive text messages containing informative updates or marketing messages, or both, from NCPA. Standard message and data rates apply. Reply HELP for help, STOP to cancel after 1st text message.
*This question is required.

Mobile Number (Format: 555-555-5555):