Questionnaire
This questionnaire is designed to find out if your OSA is being
controlled with your choice of mask. Your view is important and will
be very grateful if you would take few minutes to complete this
confidential survey.
1). What has made a biggest difference in comfort and compliance
for your OSA treatment therapy?
a) CPAP ramping features ----------- Yes No
b) Better fitting Mask ----------- Yes No
c) Humidifier ---------------------- Yes No
d) Mask cushions /headgear --- Yes No
e) Others (please specify) ------ ------------------------------------------- -----
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2). Does your current mask meet your exp ectations?
a) Yes b) No
3). What kind of Mask do you use?
a) Full-Face Mask b) Nasal Mask c) Nasal Pillow
4). Was this the mask type you were first prescribed?
a) Yes b) No
5). How long have you been using mask of your choice?