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QualityDME

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Compliance Survey

We deeply appreciate your feedback, as it plays a crucial role in enhancing our services. Please take a moment to participate in this short survey. Thank you for your time and valuable insights!

"*" indicates required fields

Name*

First Last

Email*

Do you believe it would be beneficial for sleep coaches to conduct follow-up check-ins after the 90-day period?*

Yes

Unsure

How often would you prefer to have follow-up check-ins with a sleep coach?*

Monthly

Every three months

Every six months

Annually

No preference

What would you like to be the primary focus during follow-up check-ins?*

Monitoring progress

Addressing challenges or concerns

Setting new goals

Educational information

Other

Other:*

What is the most important factor for you in the timing of follow-up check-ins?*

Consistency

Flexibility based on my needs

Alignment with specific milestones in my treatment

Other

Other:*

Would you prefer follow-up check-ins to be virtual, in-person, or a combination of both?*

Virtual

In-person

Combination of both

No preference

Please identify the obstacles faced when using the sleep equipment. (Select all that apply)*

No longer necessary

Difficulty in maintaining usage

Lack of time

Need for additional support or a sleep coach

Seeking motivation

Discomfort while using the equipment

Financial constraints

Lack of perceived benefit

Not applicable

Other

Other:*

What factors do you believe could help you continue using your sleep equipment? (Select all that apply)*

Regular check-ins by sleep coaches

Availability of alternative styles of face masks

Improved outcomes from using the equipment

Better understanding of the benefits

Financial incentives or support

Personalized adjustments to the equipment

Additional training or education on usage

Peer support groups

Other

Other:*

How satisfied are you with the current sleep equipment and coaching service?*

Very satisfied

Satisfied

Neutral

Unsatisfied

Very unsatisfied

Do you need a supply reorder?*

Yes

Unsure

Please share any additional comments or suggestions you have for improving our sleep equipment and coaching services

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Contact Us

Lorton, VA – Main Office

8530 Cinder Bed Road, Suite 2300
Lorton, VA 22079

Columbia, MD

(Warehouse)

9175 Guilford Road, Suite 308
Columbia, MD 21046

Fredericksburg, VA

(Warehouse)

103 Westwood Office Park
Fredericksburg, VA 22401

Richmond, VA

(Warehouse)

9323 Midlothian Turnpike,
Suite R
Richmond, VA 23235

Virginia Beach, VA

(Warehouse)

208 Ash Ave, Suite 103
Virginia Beach, VA 23452

Toll Free: 888.276.3237
Local: 703.288.9131
Fax: 703.288.4388

Email: ContactUs@qualitydme.com

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Lorton, VA – Main Office

Columbia, MD

Fredericksburg, VA

Richmond, VA

Virginia Beach, VA

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