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Sleep Apnea Survey

I am a Sleep Apnea suffer and 'PAP user for 8 1/2 years,  and as such I've had a lot of issues with this whole Sleep Apnea thing.

I'm trying to gather some information from other "suffers" like myself in hopes of trying to get the Mask and 'PAP makers to be a little more in tune to our needs. Hopefully this may evolve into a viable advocacy organization for all of us.

I promise you this first and foremost:

Your email address will NOT be used, sold, given away, or compromised in any way. If I use it at all, it would be to ask for additional information concerning your Apnea circumstances.

And if you would prefer NOT to give your email address, just fill it in with ihavenoemail@anywhere.com

Thank you for your time.

ll&p

Apnea Suffer  You                                   
                        
Friend or Family Member       
       Gender?   MF       Weight   

Age                              email   

What Type of 'PAP do you use?      

            What brand do you use?     
                         What Model is it?     

How much did your 'PAP cost?       

                  How was it paid for?       

How Long Have You Used a 'PAP?    
How many 'PAP's have you had?    

What type of mask do you use?      
   What model of mask is it?             
Are you happy with you mask?    YN

How often do you replace the      
"expendable" parts of your mask?     

What are the  issues you have with your mask, and what would you like to see in the "perfect" mask?

How often have you experienced
a power outage that interrupted?        
your sleep and rest period             

How long do these outages last?        

What type(s) of alternate power sources do you have?
                                                                

If you had a battery backup
power source for your 'PAP,
how long would you want it to          
be able to run your 'PAP

How many minutes does it
take you to fall asleep?                    

Do you use a sleep medication?  YN

How many hours of sleep do
you require to feel completely        
rested?

Where do you keep your 'PAP?       

Any other comments?
                

 

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