CPAP/BiPAP Patient Satisfaction

Thank you for choosing Sea Breeze Sleep and Medical Services as your CPAP/BiPAP supply provider. We appreciate your patronage, and value your feedback. As a thank you from us for taking the time to tell us how we're doing, you will receive an exclusive coupon for 20% off an in-store retail purchase at the completion of this survey. 

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* 1. Please rate your overall experience with our office staff.

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* 2. Please rate your experience regarding office communication and response times.

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* 3. How convenient was the appointment time you were able to get?

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* 4. Was your clinician on time for your appointment?

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* 5. Are you satisfied with the competency of your clinician?

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* 6. Are you satisfied with the level of customer service you received from your clinician?

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* 7. Did you recieve and understand instructions on proper application and use of your equipment or supplies?

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* 8. Did you receive a new patient information packet which included information on your rights and responsibilities, complaint process, billing, contact numbers, and reasons to notify us?

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* 9. Are you satisfied with our service? Would you recommend us to others?

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* 10. Contact Information:

 
100% of survey complete.

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