Patient Satisfaction Survey

We are pleased that you and your doctor chose Outpatient Surgery Center of Jonesboro. Our goal is to provide high quality care for you and your family. Your evaluation will be thoroughly reviewed and kept confidential.

Please select from one of the four options below to complete the survey:

Online Form

Online Survey
Click here
or scroll down to complete our online patient satisfaction survey online.




Survey PDF


Survey PDF
Step 1 of 3 - Your Info & Overall Impression

Please indicate your overall impression of OSC based upon the service you received during your outpatient visit.

Step 2 of 3 - Would You Recommend?

Why did you choose Outpatient Surgery Center of Jonesboro?

Would you recommend Outpatient Surgery Center of Jonesboro to a good friend who lives in this area, has a medical problem similar to your, and need outpatient surgery?

Step 3 of 3 - Rate Our Services

How would you rate the following? (5 = Excellent, 1 = Poor)

Admissions 5 4 3 2 1
Pre-Admission visit and/or phone call was clear
Admissions person demonstrated courtesy and concern
Billing and insurance information was clear
Waiting Time before being taken to Pre-Op reasonable
Pre-Op 5 4 3 2 1
Pre-Op personnel demonstrated courtesy and concern
IV was administered without excessive discomfort
Clear instructions were provided prior to surgery
Anesthesiologist demonstrated courtesy and concern
Staff provided for your physical comfort in pre-op area
Operating Room/Endoscopy Suite 5 4 3 2 1
Personnel demonstrated courtesy and concern
Staff explained the preparations for the procedure
Staff provided for your physical comfort
Recovery Room 5 4 3 2 1
Recovery room nurses demonstrated courtesy and concern
Staff demonstrated concern for your privacy
Staff provided for your physical comfort
Staff provided sufficient recovery time prior to discharge
Staff provided clear explanation of discharge

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