Post Study Patient Survey
 

This survey is only for patients who have completed a sleep study. Misrepresenting yourself is against the law and any form submission can be traced to your IP address and/or network.

Your Name (Last, First)
Date of Study (mm/dd/yyyy)
Email (so we can respond if necessary)
Your Tech's name 
Did you receive adequate information prior to your sleep study?  Were procedures  and testing methods explained?
Was the technician professional, knowledgeable, and appropriately groomed?
Did the study begin on time? Were there delays that were avoidable?  
Were you made comfortable? was the temperature  satisfactory and the  noise level low?
 Was the facility hygienically acceptable.
 Please rate our staff and facility (1 = horrible, 5 = excellent)
Please make any suggestions you feel will be helpful for us to continue to meet our patient and community needs.

    Thanks you for your time!