Important: remember to click the submit button at the bottom of the form when you
are finished to send us your responses!
MEMBERSHIP
1. As a Pharmacy Manager, is your Pharmacy currently a *Pharmacy Member?
(*Pharmacy membership includes a pharmacist membership for the Manager)
Yes
No
Uncertain
N/A
2. Are you currently an individual Pharmacist Member?
Yes
No
Uncertain
N/A
3. If yes to either Questions #1 and #2, do you plan to renew your membership?
Yes
No
Uncertain
N/A
4. If no to either Questions # 1 and 2, are you likely to join within the next year?
Yes
No
Uncertain
N/A
5a. If you are a non-member pharmacy, please indicate why not? Please check all that apply.
Membership Fees
Do not utilize services/benefits
Services/benefits available
elsewhere
Membership does not
satisfy needs of Pharmacy
5b. If you are a non-member pharmacist, please indicate why not? Please check all that
apply.
Membership Fees
Employer provides complete
benefit package
Services/benefits available
elsewhere
Professional liability insurance (malpractice) provided by employer
On maternity/parental leave
6. Who will pay for your membership dues?
Pay my own membership dues
Employer/Company pays on my behalf
N/A
PHARMACY NEEDS AND SERVICES
7. What do you see as the key priorities for the profession of pharmacy and what is the role of the BCPhA?
Please rank the order of importance of these issues to you. (Rank 1 to 11 with 1 being the most important... please
do not duplicate ranking numbers) :
How do you rank the importance of these issues?
Do you think BCPhA has a role to play in addressing these issues?
ISSUES
Yes
No
Expanded role of pharmacy in health care
Yes
No
Government health care reform
Yes
No
International pharmacy services (i.e. Cross Border)
Yes
No
Securing fair reimbursement for pharmacy services
Yes
No
Shortage of pharmacists
Yes
No
Promotion of the profession of pharmacy
Yes
No
Ongoing and/or additional pharmacist training
Yes
No
Develop/implement pharmacy practice resource materials
Yes
No
Securing recognition of BCPhA as the sole negotiator for the profession of pharmacy
Yes
No
Third party issues
Yes
No
Audit support
Other, please specify
8. Do you agree with the following?
Pharmacy Technicians
Strongly Agree
Somewhat Agree
Disagree
Strongly Disagree
NA
The role of pharmacy technicians should be expanded
Pharmacy technicians can be utilized more efficiently
Pharmacy technicians should be certified/accredited
BCPhA membership should be expanded to include a pharmacy technician membership category
BCPhA should develop/administer a pharmacy technician training program
BCPhA should accredit pharmacy technician training programs
INSURANCE
9. How satisfied are you with the coverage included in the insurance program?
Very Satisfied
Satisfied
Uncertain
Dissatisfied
Very Dissatisfied
NA
10. How satisfied are you with the administration and marketing of the insurance program?
Very Satisfied
Satisfied
Uncertain
Dissatisfied
Very Dissatisfied
NA
11. Please indicate what type of insurance coverage (other than the basic malpractice) is most important to
you. (Rank from 1 to 7 with 1 being the most important... please do not duplicate ranking numbers) :
Additional professional liability insurance (malpractice)
Optional life, disability, dental extended health
Optional accidental death and dismemberment
Group Benefits (i.e. life, disability, dental & extended health, accidental death and dismemberment)
Critical illness plan
Commercial fire comprehensive
Cost plus
Other, please specify
12. Do you participate in
the following insurance plans?
Do you participate in the following?
Insurance Plan
Yes
No
Additional professional liability insurance (malpractice)
Yes
No
Optional life, disability, dental & extended health
Yes
No
Optional accidental death and dismemberment
Yes
No
Group benefits (i.e., life disability, dental and extend health accidental death and dismemberment)
Yes
No
Critical illness plan
Yes
No
Commercial fire and comprehensive
Yes
No
Cost plus
13. Please indicate your reasons for not participating in the above insurance plans. Please check
all that apply.
Not aware of benefits
Coverage purchased elsewhere
Other, please specify
14. What can we do to improve the insurance program?
SERVICES/BENEFITS
Please answer either question either 15a or 15b as it relates to your current position as a Pharmacy Owner/Manager
or Pharmacist.
15a. BCPhA provides the following member services and benefits. (Rank 1 to 15 with 1 being the
most important... please do not duplicate ranking numbers):
PHARMACY OWNER/MANAGER only (Pharamacists answer 15b)
Professional liability insurance (malpractice/additional insurance products)
The Tablet
Clinical Updates
Issue Updates
Insurance Updates
Website
Continuing Education Programs
BCPhA Annual Conference
Legal Referral Services
Human Resources Referral Services
PharmAssist (confidential rehabilitation program)
Textbooks at preferred prices
Recruitment Assistance
Classified Career Advertisements
"Pharmacists Looking for Work"
career listings
15b.
BCPhA provides the following member services and benefits. (Rank 1 to 10 with 1 being the most
important... please do not duplicate ranking numbers):
PHARMACISTS only (Pharamacy
Owner/Manager answer 15a)
Professional liability
insurance (malpractice/additional insurance products)
The Tablet
Insurance Updates
Website
Continuing Education Programs
Annual Conference
Legal Referral Services
Human Resources Referral Services
PharmAssist (confidential
rehabilitation program)
"Pharmacists Looking for Work"
career listings
16. BCPhA provides
additional benefits through its Tru-Cash Membership Card and
Club Pharm Benefits Program. Please answer the following
questions.
Do you utilize these benefits?
Do you think BCPhA should continue to
offer these benefits?
Benefits
Yes
No
Yes
No
TRU-CASH MEMBERSHIP CARD
(earn and redeem points on variety of products/services
(i.e. car rentals, hotels etc)
Yes
No
Yes
No
CLUB PHARM BENEFITS
(discount on services/products)
Yes
No
Yes
No
ProGroup Sales & Leasing
Yes
No
Yes
No
Bell Mobility
Yes
No
Yes
No
Park 'N Fly
Yes
No
Yes
No
Nebs Business Products
Yes
No
Yes
No
Petro Canada SuperPass
Yes
No
Yes
No
Arts Club Theatre Company
Yes
No
Yes
No
Costco Wholesale
Yes
No
Yes
No
DPI Dynamic Productions Inc
Yes
No
Yes
No
Freelandce Productions
Graphic Artist
Yes
No
Yes
No
Bob Andrews Store
Design/Construction
Yes
No
Yes
No
Lodging Ovations
(Intrawest Company)
17.
What type of services/benefits would you like to have added
to the Club Pharm Benefits Program?
COMMUNICATIONS
18.
The BCPhA produces various communications to provide its membership with information. Please rank the following
communications in the order of importance to you. (Rank 1 to 5 with 1 being the most important... please do not duplicate
ranking numbers) :
The Tablet
Issue Updates
Clinical Updates
Insurance Updates
Website
19.
What topics/subjects would you like to see covered in these
communications?
20.
How would you prefer to receive the above information? Please rank in order of importance to you. (Rank 1 to 4 with
1 being the most important .... please do not duplicate ranking numbers) :
Mail
Fax
Email
Website
21. Are you aware of the
BCPhA website www.bcpharmacy.ca?
Yes
No
22.
What areas of the website are the most important to
you?
Homepage/About Us
Publications
Members
Area
Careers
Press
Releases
Events
Other, please specify
23.
How satisfied are you with BCPhA communications?
Very Satisfied
Satisfied
Uncertain
Dissatisfied
Very Dissatisfied
NA
24.
When obtaining pharmacy related information, please rank the following resources in order of importance to you. (Rank 1
to 6 with 1 being the most important.... please do not duplicate ranking numbers) :
Colleagues
BCPhA Communications
Pharmacy Textbooks
Internet
Magazines/Newspapers
Seminars, Conventions, Meetings,
Trade Shows
25. If the BCPhA could
receive bulk rates on pharmacy related publications (i.e.
Pharmacist Letter, Pharmacy Post, Canadian Pharmacy Journal)
and provide specific publications as a member benefit, would
you be willing to pay an increased membership fee to cover
this additional cost?
Yes
No
Uncertain
Please comment:
CONTINUING EDUCATION PROGRAMS AND BCPhA ANNUAL
CONFERENCE
CONTINUING
EDUCATION PROGRAMS
26.
The BCPhA provides continuing education programs and the
BCPhA Annual Conference. Please indicate which type of
program(s) you have attended in the past. Please check
all that apply.
Morning CE
Evening CE
Full Day CE
Annual Conference
27. Who pays for you to attend continuing education programs?
Pay my own continuing education program fees
Employer/Company pays on my behalf
Uncertain
N/A
28.
Please indicate your reasons for attending continuing education programs. Please rank in order of importance
to you. (Rank 1 to 6 with 1 being the most important... please do not duplicate ranking numbers):
Topic/Subject
Continuing Education Units
Presenter/Speaker
Professional Development
Networking
Support BCPhA
29.
Please indicate your reasons for not attending continuing ducation programs. Please rank in order of importance to
you. (Rank 1 to 6 with 1 being the most important... please do not duplicate ranking numbers):
Content not specific
enough to job
Program Cost
Attend other conferences
No staff relief
Location
Other commitments
30. What time of day would
you prefer to attend continuing education
programs?
Morning CE
Afternoon CE
Evening CE
Full Day CE
Weekday
Weekend
Uncertain or
N/A
31.
What type of continuing education programs are you most interested in participating? Please rank in order of
importance to you. (Rank 1 to 4 with 1 being the most important... please do not duplicate ranking numbers):
Distance Education
Programs (Video/DVD)
In-person seminars
Web-casting
Video-conferencing
32. How often should
continuing education programs be
held?
Monthly
Quarterly
Semi-Annually
Uncertain
N/A
BCPhA ANNUAL CONFERENCE
33.
Will you attend the 2003 BCPhA Annual Conference in
Penticton, BC?
Yes
No
Uncertain
N/A
34.
Please indicate your reasons for attending the 2003 BCPhA Annual Conference. Please rank in order of importance
to you. (Rank 1 to 6 with 1 being the most important... please do not duplicate ranking numbers):
Topic/Subject
Continuing Education Units
Presenter/Speaker
Professional Development
Networking
Support BCPhA
35.
If you are not attending the 2003 BCPhA Annual Conference, please indicate your reasons for not attending.
Please rank in order of importance to you. (Rank 1 to 6 with 1 being the most important... please do not duplicate ranking numbers):
Content not specific
enough to job
Program Cost
Attend other conferences
No staff relief
Location
Other commitments
36. Who will pay for you to
attend the 2003 BCPhA Annual
Conference?
Pay my own conference fees
Employer/Company pays on my behalf
Other
37. What topics/subjects
would you like to see presented at continuing education and
annual conference programs?
E-COMMERCE
38.
Would you like to be able to pay your membership dues
on-line?
Yes
No
Uncertain
N/A
39.
Would you like to be able to update your personal database
information on-line?
Yes
No
Uncertain
N/A
40.
Would you like to be able to register for continuing
education programs on-line?
Yes
No
Uncertain
N/A
41.
Would you like to be able to register for the BCPhA Annual
Conference on-line?
Yes
No
Uncertain
N/A
GENERAL
42. If BCPhA were to form
the following focus groups, please indicate which focus
groups you would like to participate in. Please check (?)
all that apply.
Professional Development
Economic Development
Government Advocacy
Other, please specify
43.
Would you recommend BCPhA membership to colleagues or
contacts within the pharmacy
profession?
Yes
No
Uncertain
N/A
DEMOGRAPHICS
44. Please indicate your
age:
20 – 29 years
30 – 39 years
40 – 49 years
50 – 65 years
Over
65