1. When you were contacted about scheduling your appointment, how long did it take for you to be seen ?
Less than a week 2-3 weeks 1 month more than 1 month

2. Did the technician explain who she was and go over the information packet you would be receiving ?
Yes No

3. Did you have any problems filling out any of the information in the packet ?
Yes No

4. Did you fill out the information packet on our website or was it mailed to you ?
Website Mail

5. Did you have any problems finding our lab ?
Yes No

6. Did you have any problems getting into and out of our lab or parking lot ?
Yes No

7. On a scale of 1-5 , how would you rate the courteousness of the registration staff :

	1	2	3	4	5
• Courteousness of the Technician:

8. Was there something that we could have improved on in making your overnight stay with us more comfortable? ?

9. Was the procedure explained to you prior to your testing ?
Yes No

10. Was the procedure explained to you in a manner you understood ?
Yes No

11. Did you receive a phone call reminding you of your appointment ?
Yes No

12. Overall, how would you rate your encounter at our Sleep Lab ?
Not Satisfied Satisfied Very Satisfied

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