Sleep Patient Questionnaire Peak Sleep Clinic - Founded with a focus on improving a person’s quality of life * 1. As a patient being seen at Peak, how satisfied are you with our service? Very satisfied Satisfied Dissatisfied Very Dissatisfied * 2. How would you describe the ease of scheduling an appointment at Peak Pulmonary? Very efficient (process was quick and straight forward) Somewhat efficient (process was somewhat lengthy, somewhat difficult reaching clinic) Inefficient (very lengthy booking process and/or difficulty reaching the clinic) Very inefficient (Unable to reach the clinic during office hours, difficulty arranging date/time) * 3. How would you describe the respiratory therapist that performed your test? Very professional, polite, and approachable (appropriate dress, encouraged questions, made you feel comfortable) Professional, polite, and approachable Somewhat unprofessional, not as approachable and polite as you’d like Very unprofessional, impolite and unapproachable (inappropriate dress, you felt uncomfortable) * 4. How likely are you to refer Peak’s services to a friend? Very likely Somewhat likely Somewhat unlikely Very unlikely * 5. Have you heard of Peak’s other services before? (pulmonary function testing, respirology consultations, allergy testing and consultations, internal medicine specialist consultations) Yes, I’m very familiar with them I know of them I’ve heard about some of these services I haven’t heard of any of Peak’s services before * 6. How beneficial do you think Peak’s other services would be to you? Very beneficial Can see the benefit of some of these services Not very beneficial (mostly irrelevant) These services don’t seem to apply to me * 7. What do you like about Peak the most? Selection of locations (convenient to get to) Staff (friendly, courteous) Wait time (Ability to book you in quickly or at times/days you wanted, staff running on time) Testing (length and quality of test and education components, efficient) Other (please specify) * 8. What location were you seen at today? Crowfoot Hamptons Village Square Lincoln Park Shawnessy High River Strathmore Okotoks Red Deer Medicine Hat Sherwood Park Allendale Carstairs * 9. What are some things you’d like to see Peak provide in the future? Done