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Please complete the below form to nominate yourself for the 2018 Pharmacy Guild of Australia / Maxigesic Pharmacy Assistant of the Year Award.

Your Personal Details

Your First Name*

Your Last Name*

Your Email Address*

Your Contact Phone Number*

Gender*

Age Range*

Pharmacy Details

Pharmacy where you are currently employed*

Is your Pharmacy part of a banner group?*

Yes

Unsure

If yes, which Banner Group?

Pharmacy Address*

Pharmacy Suburb*

Pharmacy State*

Pharmacy Postcode*

Employer's Name*

About You

Years of experience in community pharmacy*

If 'Other' Please Specify

Are you currently undertaking any other additional study? (e.g. Certificate, Diploma, Bachelor etc)?*

Yes

If 'Yes' Please Specify

If 'Other' Please Specify

Market Research Questions

Please take the time to provide feedback to our sponsors:

1. Is Maxigesic your primary recommendation as an OTC alternative for codeine customers?

2. Did you know that Maxigesic is the only Paracetamol/Ibuprofen combination analgesic proven to provide more effective pain relief than OTC Paracetamol or Ibuprofen alone?

3. Have you seen a significant increase in codeine prescriptions in your area since codeine rescheduling?

4. Do you stock the new Red Glucojel 150gm packet?

Nomination Questions

The following questions have been developed to give you an opportunity to showcase your leadership, skills, and knowledge of the pharmacy industry. They are designed to highlight those that exhibit a true commitment to lead pharmacy and pharmacy assistants into the future.

Please respond in 150 words or less (per question) to each of the following questions.

1. As the pharmacy industry is a competitive market and customers have many options available to them, how do you ensure your customers remain loyal to your store?*

2. In February 2018 codeine containing analgesics were up scheduled to S4/prescription medicines. Outline the ways that you communicate, educate and support codeine customers to help provide them with alternative forms of pain relief in your pharmacy?*

3. Describe a situation where you have provided exceptional customer service and what this meant to your customer?*

4. If you were involved in giving input into the 7th Community Pharmacy Agreement (7CPA), what ideas and or suggestions would you put forward in regards to pharmacy assistants in the industry?*

Terms & Conditions*

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