Medicine Purchase Behavior & your views on e-pharmacy
Please answer the following questions. This survey will take only 2 to 3 minutes.
E-mail
*
Name
*
First Name
Last Name
Gender
*
Male
Female
Prefer not to say
Age
*
16-25
26-35
36-45
46-55
56-65
66-75
75+
Occupation
*
Student
Job
Business
Doctor
Housewife
Other
For your information
Medicines require Doctor's prescription.(Except OTC-over the counter products.)
Is there any person in your family including you takes medicine regularly for any disease?
*
Yes
No
Monthly expenditure incurred over medicine (in INR)
*
Less than 1000
1001 to 2500
2501 to 5000
5001 to 10000
10001 to 20000
More than 20000
Frequency of buying medicine
*
Once in a 15 days
Once in a month
Once in a 3 months
Once in a 6 months
Other
Have you ever visited multiple pharmacies for one medicine?
*
Yes
No
Is there a difference in price of same medicine among pharmacies?
*
Yes
No
Availability of Qualified pharmacist when you purchased medicine?
*
Yes
No
Don't know
Do you get proper bill for medicine?
*
Yes
No
Select names you know for selling online medicine in India: (You can select more than one option)
*
Netmeds
1mg
BookMeds
Medidart
Medplusmart
Buydrug.in
Other
From which source you come to know about this online medicine seller (you can select more than one option)
*
Television
Online
Radio
Newspaper
Pamphlet
Relatives/Friends
Do you feel e-pharmacy will work in India?
*
Yes
No
Not sure
Do you feel that e-pharmacy can be a cheaper option for medicines?
*
Yes
No
Not sure
Do you feel that e-pharmacy can provide better information about medicine?
*
Yes
No
If you purchase medicine online than your payment preference will be?
*
Debit card/ Credit card
Net banking
Cash on delivery
Other
Have you ever purchased medicine product online?
*
Yes
No
Back
Next
From which seller you bought medicine product?
*
Netmeds
1mg
BookMeds
Medidart
Medplusmart
Buydrug.in
Other
Why you have purchased medicine online?
*
You get more discount than retail outlets.
No fear of getting expired product.
More trust on online product than retail outlet.
Quick delivery of product.
Reduce visits to medical store.
Other
Your opinion for e pharmacy
*
Very Satisfied
Satisfied
Somewhat Satisfied
Not Satisfied
Level of satisfaction after purchase
Delivery in specified duration
Quality of product delivered to you
Packaging
Ease of ordering
Price Benefit
Overall service
Suggestion for Improvement for e-pharmacy
Submit
Back
Next
Why you have not purchased medicine/OTC online? (you can select more than one option)
*
You don't know about it.
Uploading Doctor's prescription is an issue.
You get better discount at Retail store of your area.
Fear of getting duplicate medicine or OTC product.
You feel online purchase more time consuming.
Fear of getting expired product.
Other
After this form filling- Will you try to purchase medicine from e-pharmacy?
*
Yes
No
Not sure
Further Comments
Submit
Should be Empty: