Patient Experience Survey

Comprehensive Accident & Injury Center believes in putting their patients first and welcomes your feedback on your past experience with us. Out of respect for your busy schedule, we have redesigned our Patient Experience Survey to a short, online questionnaire that can be completed in a matter of minutes. We look forward to using the information provided to better serve you in the future. All information received from this survey is kept strictly confidential. Thank you for your participation.

Are you satisfied with our customer service? *

Are you satisfied with the care you received? *

How likely are you to recommend OIP to friends and family: *

Please describe the reasons for your answers in order to make us better... *

May we republish your comments on our Web site or other marketing materials? *

Date of Visit

Which provider did you see during your visit?

If you would like to be contacted about this survey, please complete the Patient Name, DOB, and Phone Number fields below:

Patient Name:

Patient Date of Birth:

Patient Phone:

Thank you for taking the time to complete our survey.

We rely on your feedback to help us improve our services. Your input is greatly appreciated.

Click 'Submit' to process your Patient Experience Survey.