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514-934-0727 (Montreal), 613-235-0727 (Ottawa, Gatineau)

Patient Satisfaction Survey


Your feedback is very important to Sleep Apnea Solutions team. Fill in this Patient Satisfaction Survey so that we could serve you better.

Gender*:  Male   Female  
 
Age*:  18-25   26–35   36–45   46–55   65+  

Excellent Good Acceptable Poor
Quality of reception:
Staff courtesy:
Staff professionalism:
Punctuality (waiting time):
Identification of your needs:
Overall experience:
Cleanliness of premises:

Where did you hear about us 
Internet   Doctor   Friend   Other: 

Would you recommend SAS to someone you know?

    

Yes

  

No

  

PLEASE HELP US TO SERVE YOU BETTER
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