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Satisfaction Survey

Please help us by taking the time to rate our service and technician(s). We hope that your experience was a pleasant one. If you feel that our service needs improvement in any of the areas below, please use the "Comments" section to explain. We appreciate the opportunity to serve you.


SCHEDULING
1. Sleep Solutions was prompt to contact me to schedule my appointment. Yes     No
2. Sleep Solutions was accommodating in terms of flexibility of scheduling. Yes     No
3. Directions and pre-study instructions were comprehensive and helpful. Yes     No
4. I received a confirmation call within 24 hours of my appointment. Yes     No
5. Sleep Solutions answered questions regarding my insurance coverage/benefits. Yes     No

Comments


EDUCATION
1. I received educational material from the Sleep Solutions technician. Yes     No
2. Sleep Solutions mailed/faxed/e-mailed directions to me. Yes     No
3. The educational material was helpful and will be useful in the future. Yes     No
4. The sleep technician, verbally, offered additional education to me. Yes     No
5. The sleep technician was thorough in the explanation of sleep study procedure. Yes     No

Comments



1 = Poor 2 = Below Average 3 = Good 4 = Very Good 5 = Excellent

ACCOMODATIONS
1. Bed was neat, clean, and professional in appearance.
1 2 3 4 5
2. Restroom was clean and professional in appearance.
1 2 3 4 5
3. Waiting Area was clean and professional in appearance.
1 2 3 4 5
4. Temperature of bedroom met my satisfaction.
1 2 3 4 5
5. Noise control (while sleeping) was to my satisfaction.
1 2 3 4 5

Comments


CUSTOMER SERVICE
1. Scheduler was friendly and professional.
1 2 3 4 5
2. The sleep technician was friendly and professional.
1 2 3 4 5
3. Personnel were able to answer my questions to my satisfaction.
1 2 3 4 5

Comments
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