THE SLEEP DISORDERS CLINIC CPAP VENDOR SURVEY

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* 2. Which of our sleep labs did you attend?

Hamilton

St Catharines

CMH

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* 3. Did you attend a CPAP study in the lab or were you set up to do autotitration of CPAP at home?

CPAP in lab titration study

At home Auto PAP "APAP"

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* 4. Who recommended the CPAP vendor that you purchased your CPAP machine from?

The doctor or the physician's assistant at the Sleep Disorders Clinic

The sleep technician at the time of the CPAP study

A friend or family member

You made the decision yourself

Other (please specify)

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* 5. If you did not attend the CPAP vendor recommended by the clinic, which factors influenced your decision to go to an alternate CPAP company?

Price

Availability of appointment

Choice of equipment

Reputation

Recommendation from friend or family member

Location

Other (please specify)

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* 6. If you picked the vendor based on location, is the location closest to your....

Home

Work

Sleep Disorders Clinic

Other (please specify)

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* 7. Which CPAP machine did you purchase?

Resmed Airsense

Respironics Dreamstation

Fisher and Paykel Sleep Style

I did not purchase a CPAP machine (You may end the survey now).

Other (please specify)

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* 8. What influenced your decision to purchase that make of machine?

Suggestion from the clinician

The features of the machine

It was the only machine offered to me

Other (please specify)

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* 9. What kind of mask are you using?

Full face mask (over nose and mouth)

Nasal mask (nose only)

Nasal pillows mask (inside or slightly over the nostrils)

Other (please specify)

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* 10. If you are not using the same mask as the one in the laboratory, why not?

I did not have a CPAP study in the laboratory

I did not like the mask used in the laboratory

The vendor clinician recommended I use an alternate mask

I knew which mask I wanted and got the one I preferred

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* 11. Did you end up buying any add-ons to your CPAP machine?

Extended service plan

Heated hosing

Upgraded mask

CPAP pillow

None

Other (please specify)

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* 12. Do you have health insurance that covered the cost of the CPAP, mask and add-ons?

Yes

Partial coverage

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* 13. Please enter a price range that you spent "out of pocket" even if covered by an insurance company.

$0-$250

$250-$500

$500-$750

More than $750

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* 14. How long have you been using your CPAP machine?

Less than one month

1-2 months

2-3 months

3-4 months

4-6 months

6 months to 1 year

5 years or more

Not using CPAP

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* 15. How often are you using your CPAP machine?

Every night

5-7 nights per week

3-5 nights per week

Fewer than 3 nights per week

Sporadically

Not currently using CPAP

Other (please specify)

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* 16. Do you use a phone based "APP" to monitor your nightly usage of CPAP?

Yes

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* 17. Did the clinician tell you that your machine would be connected to an online platform so that your sleep doctor can access your sleep results?

Yes

Other (please specify)

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* 18. When you first started using CPAP how quickly did the CPAP clinician contact you?

Within the first few days

Within the first week

Within two weeks

Other (please specify)

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* 19. The CPAP clinician was available early on when I needed help.

True

False

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* 20. How satisfied are you with the care you received from the CPAP company you visited?

Not very satisfied

Satisfied

Exceptionally satisfied

Clear

i We adjusted the number you entered based on the slider’s scale.

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* 21. Do you feel as though you can trust the CPAP clinician to deal with any issues you may have with CPAP now or in the future?

Yes

Not sure

Other (please specify)

THE SLEEP DISORDERS CLINIC CPAP VENDOR SURVEY

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* 1. You were recently referred to a CPAP vendor/ Home Care Company for Positive Airways Pressure (PAP) therapy for Sleep Apnea. Which vendor did you obtain your CPAP (or APAP/ BIPAP) equipment from?

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* 2. Which of our sleep labs did you attend?

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* 3. Did you attend a CPAP study in the lab or were you set up to do autotitration of CPAP at home?

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* 4. Who recommended the CPAP vendor that you purchased your CPAP machine from?

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* 5. If you did not attend the CPAP vendor recommended by the clinic, which factors influenced your decision to go to an alternate CPAP company?

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* 6. If you picked the vendor based on location, is the location closest to your....

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* 7. Which CPAP machine did you purchase?

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* 8. What influenced your decision to purchase that make of machine?

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* 9. What kind of mask are you using?

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* 10. If you are not using the same mask as the one in the laboratory, why not?

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* 11. Did you end up buying any add-ons to your CPAP machine?

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* 12. Do you have health insurance that covered the cost of the CPAP, mask and add-ons?

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* 13. Please enter a price range that you spent "out of pocket" even if covered by an insurance company.

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* 14. How long have you been using your CPAP machine?

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* 15. How often are you using your CPAP machine?

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* 16. Do you use a phone based "APP" to monitor your nightly usage of CPAP?

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* 17. Did the clinician tell you that your machine would be connected to an online platform so that your sleep doctor can access your sleep results?

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* 18. When you first started using CPAP how quickly did the CPAP clinician contact you?

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* 19. The CPAP clinician was available early on when I needed help.

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* 20. How satisfied are you with the care you received from the CPAP company you visited?

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* 21. Do you feel as though you can trust the CPAP clinician to deal with any issues you may have with CPAP now or in the future?

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* 22. Do you have any comments related to CPAP and the service you received from the CPAP vendor?