Feedback Survey – OK Pain Center

Our Staff

The reception staff was friendly and helpful.

Strongly Disagree
Disagree
Neutral
Agree
Strongly Agree
N/A

The nursing staff was helpful, informative and encouraging.

The billing staff was helpful and courteous.

The x-ray and lab staff were gentle, caring and professional.

My provider displayed technical knowledge and competence.

Treatment Received

How well is your pain being controlled?

Not Well
Adequately
Very Well
Extremely Well

How much has the medication Buprenorphine helped in your pain medication regimen?

Not At All
Minimally
Very Much
Couldn't Do Without It
Not On Buprenorphine

Has your pain improved under the care of your provider at Oklahoma Pain Center?

Yes
No

Has your quality of life improved under the care of your provider at Oklahoma Pain Center?

Yes
No

Were you satisfied with the length of waiting for your appointment?

Yes
No

Our Facility

On a scale from one to five, 1=poor and 5=excellent, please rate the overall comfort of our facility.

On a scale from one to five, 1=poor and 5=excellent, please rate our facility's cleanliness.

On a scale from one to five, 1=poor and 5=excellent, please rate how easily our facility can be found in respect to driving directions and sign visibility.

Contact Information (Optional)

Name

First Last

Email

Phone

Message

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