Regional Brain & Spine Neurosurgery, Pain Management, Back Pain, Neck pain

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Conveniently located in Cape Girardeau
Dexter, & Farmington

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Patient satisfaction survey

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Let us know how we’re doing and how we can enhance your care.

Patient Satisfaction

(1) I am visiting the Regional Brain & Spine (RBS) website as a:
If Other (please specify)
Which Physician is this feedback for?
- Dr. Kamanga-Sollo
- Dr. Reis
- Dr. Schleicher
- Dr. Tolentino
- Dr. Vaught
- Not one specific provider
- Other (NP or PA)
If Other (please specify - Debbie, Susie, Jason, Jake, Patrick, Tyler, Jared, Stephanie, Kristi, Logan or Hiliary)
(2) My main reason(s) for visiting the RBS website are (check all that apply):
- Leave Feedback about Provider
- Doctor profile information
- Directions to the clinic
- Watch a patient video
- Get phone number to...
- General info about RBS
- Other
If Other (please specify)
(3) Which RBS services are of interest to you?
- Neurosurgery
- Pain management
- Physical medicine & rehabilitation
- Workers’ comp
(4) I would be comfortable recommending a friend to Regional Brain & Spine.
- Yes
- No
If no, please explain
(5) Please check each of the items that are important to you:
- Doctor's bedside manner
- RBS accepts my insurance
- Being located in Cape Girardeau
- RBS's reputation
- Having office on Southeast Hospital Campus
- Not having to wait
- Being treated by staff with respect
(6) How would you rate your Regional Brain & Spine experience?
- 1 = Unacceptable
- 2 = Poor
- 3 = Good
- 4 = Very Good
- 5 = Best
Comments:
(7) How would you rate this website?
- 1 = Unacceptable
- 2 = Poor
- 3 = Good
- 4 = Very Good
- 5 = Best
(8) Your Name (Optional)
Additional Comments you would like to share:

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1723 Broadway, Suite 410
Cape Girardeau, MO 63701
Phone Directory
Fax: (573) 339-9709
Patient Satisfaction Survey

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Locations

Cape Girardeau, MO
Dexter, MO
Farmington, MO
RBS serves Southeast Missouri, Western Kentucky & Southern Illinois

Contact Us

1723 Broadway, Suite 410
Cape Girardeau, MO 63701
Tel: (573) 332-7746
Fax: (573) 339-9709

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