(405) 455-3322 info@okneurospine.com

Patient Survey

Please fill out this patient survey to let us know how we are doing!

Ease of making an appointment

 Extremely Satisfied Very Satisfied Satisfied Very Dissatisfied Extremely Dissatisfied

Appointment available within a reasonable amount of time

 Extremely Satisfied Very Satisfied Satisfied Very Dissatisfied Extremely Dissatisfied

Overall waiting time in our office

 Extremely Satisfied Very Satisfied Satisfied Very Dissatisfied Extremely Dissatisfied

Ease of getting a referral when needed

 Extremely Satisfied Very Satisfied Satisfied Very Dissatisfied Extremely Dissatisfied

Office cleanliness

 Extremely Satisfied Very Satisfied Satisfied Very Dissatisfied Extremely Dissatisfied

Friendliness of staff

 Extremely Satisfied Very Satisfied Satisfied Very Dissatisfied Extremely Dissatisfied

The provider – DR or PA

 Extremely Satisfied Very Satisfied Satisfied Very Dissatisfied Extremely Dissatisfied

Overall medical care

 Extremely Satisfied Very Satisfied Satisfied Very Dissatisfied Extremely Dissatisfied

Additional Comments?