Fall 2018 Customer Satfisfaction Survey Welcome to the Oxygen One Survey - we look forward to hearing from you. Question Title * 1. How likely is it that you would recommend Oxygen One to a friend or colleague? NOT AT ALL LIKELY EXTREMELY LIKELY 0 1 2 3 4 5 6 7 8 9 10 Not at all likely - 0 1 2 3 4 5 6 7 8 9 Extremely likely - 10 OK Question Title * 2. Overall, how satisfied or dissatisfied are you with Oxygen One? Very satisfied Somewhat satisfied Neither satisfied nor dissatisfied Somewhat dissatisfied Very dissatisfied OK Question Title * 3. How well do our services meet your needs? Extremely well Very well Somewhat well Not so well Not at all well OK Question Title * 4. How responsive have we been to your questions or concerns about our products? Extremely responsive Very responsive Somewhat responsive Not so responsive Not at all responsive Not applicable OK Question Title * 5. How long have you been a customer of Oxygen One? Less than six months Six months to a year 1 - 2 years 3 or more years OK Question Title * 6. Do you have any other comments, questions, or concerns? OK Question Title * 7. Would you be interested in evaluating new OXYGEN products and sharing your feedback? Yes No OK Question Title * 8. If you answered yes to evaluating new products, please share your contact information. Name Email Address Phone Number OK Question Title * 9. OXYGEN PATIENTS ONLY: Do you own a pulse oximeter to spot check your oxygen saturation while on and off your oxygen? Yes No I am not sure what a pulse oximeter is. OK Question Title * 10. What type of equipment do you have from Oxygen One? Oxygen Cpap Nebulizer DME Other OK DONE