2) Why did you choose Apnea Health as your sleep clinic (You can select several choices.)

Proximity to the clinicRecommendation from your doctorComments on googleRecommendation from a friend/family/colleaguePrices and availability of equipmentOpening hours

3) Which of our services do you use the most often?

Telephone follow-upOn-site clinical follow-upDistilled water serviceVirtual servicesConsulting the websiteThe online store

4) There are numerous factors that contribute to quality of care. How would you rate your level of satisfaction for the following factors?

If you answered Slightly or Very Dissatisfied to one of the choices above, please let us know on how we can improve:

5) What measures could Apnea Health put in place to improve the services received?

Offer services at homeOffer services in the eveningOffer services on weekendsOffer more explanatory videos, blogs and Facebook live broadcasts

6) What is the best time for you to get your sleep apnea care and follow-up visits? (Please select a maximum of 2 choices.)

Day (8:30 a.m. to 3 p.m.) weekdaysEnd of day (3 p.m. to 5:30 p.m.) weekdaysEvening (6 p.m. to 9 p.m.) weekdaysWeekend

7) In general, how often do you benefit from the services offered by Apnea Health?

—Please choose an option—Very oftenOftenSometimesRarely

8) How satisfied are you with the following services:

If you answered Slightly or Very Dissatisfied to one of the choices above, please let us know on how we can improve:

9) Which of the following types of activities, services and topics would you like Apnea Health to prioritize? (Please choose two)

Learning activities (conference, support group, discussion circles)Services related to cognitive behavioural therapy for insomniaRespiratory function test servicesLoyalty programDiscounts for the elderlyInformation on insomniaInformation on sleep hygieneInformation on other sleep disorders: restless legs/narcolepsy etc.

10) Describe how safe and confident you feel about the following choices:

If you answered Not safe to one of the choices above, please let us know on how we can improve:

11) Over the past year, how often have you consulted the following sources of information:

12) Would you say that Apnea Health communicates sufficiently with their patients about their services and activities?

—Please choose an option—YesNo

13) Would you like to share any other concerns or suggestions with us?

14) How many years have you been a patient of Apnea Health?

—Please choose an option—Less than a yearBetween 1 and 3 yearsBetween 4 and 10 yearsMore than 10 years

15) What age group are you in?

—Please choose an option—Under 2425-3435-4445-5455-6465+

16) What gender do you identify with?

—Please choose an option—FemaleMaleNon-binary

Additional information

If you would like to leave your name or contact information, you may do so below. This information will remain confidential.

First Name

Last name

Email

Telephone number

2) How did you hear about Apnea Health?

—Please choose an option—From a friend/family memberSearch engineOnline adsSocial media (e.g. our Facebook, Instagram, etc.)Other

3) How likely are you to recommend Apnea Health to others (10 being most likely, 1 being least likely)?

—Please choose an option—10987654321

Do you have anything to add?

4) Overall, how satisfied or dissatisfied are you with Apnea Health?

—Please choose an option—Very satisfiedRather satisfiedNeither satisfied nor dissatisfiedRather dissatisfiedVery dissatisfied

Do you have anything to add?

5) Which of the following words would you use to describe our CPAP products? (you can select multiple terms below)

ReliableHigh qualityUsefulUniqueGood value for moneyToo expensiveInconvenientIneffectiveBad qualityUnreliable

Do you have anything to add?

6) How well do our products meet your needs?

—Please choose an option—Extremely wellVery wellRather wellNot so wellNot at all well

7) How do you rate the quality of the products you purchased?

—Please choose an option—Very high qualityHigh qualityNeither high nor low qualityLow qualityVery low quality

Do you have anything to add?

8) How would you rate the quality/price ratio of the product?

—Please choose an option—ExcellentAbove averageAverageBelow averagePoor

9) How well have we answered your questions about our services and products?

—Please choose an option—Extremely responsiveVery responsiveRather responsiveNot so responsiveNot at all responsiveNot applicable

Do you have anything to add?

10) How long have you been a customer of our online boutique?

—Please choose an option—This is my first purchaseLess than six monthsSix months to a year2 years or more

11) How likely are you to buy one of our products again?

—Please choose an option—Extremely likelyVery likelyFairly likelyNot so likelyNot at all likely

12) What age group are you in?

—Please choose an option—Under 2425-3435-4445-5455-6465+

13) What gender do you identify with?

—Please choose an option—FemaleMaleNon-Binary

14) Where do you live?

—Please choose an option—AlbertaBritish ColumbiaManitobaNew BrunswickNova ScotiaNunavutOntarioQuebecSaskatchewanNewfoundland and LabradorNorthwest TerritoriesYukonPrince Edward Island

15) Do you have any other comments, questions or concerns?

16) Would you be interested in:

CPAP devicesTravel CPAPBatteriesCleaning productsComfort productsOther

17) Are there any products you would like to see in our online store?

Additional information

If you would like to leave your name or contact information, you may do so below. This information will remain confidential.

First Name:

Last Name:

Email:

Telephone number: