Feedback Survey – OK Pain Center

Our Staff

The reception staff was friendly and helpful.*

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