OSSO Spine Center
3115 SW 89th St.
Oklahoma City, OK 73159
Phone: 405-424-5630

Patient Satisfaction Survey

How would you rate your overall experience with OSSO Spine Center?

Please rate the following (scale of 1 to 5, with 5 being best):
(1 – Poor 2- Fair 3-Good 4- Very Good 5-Excellent)

Phone manners of our staff	5	4	3	2	1
Convenience of your appointment time	5	4	3	2	1
Greeting upon arrival	5	4	3	2	1
Helpfulness of our staff	5	4	3	2	1
Sensitivity and attentiveness of doctor and staff	5	4	3	2	1
Explanations provided/questions answered?	5	4	3	2	1
How likely is it that you would refer family and friends?	5	4	3	2	1

Additional Comments
Do NOT include any
medical information.

Name (Optional)

May we share your comments with others?		Yes		No
May we use your comments for future marketing materials?		Yes		No

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