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OptiPillows   EPAP Mask
Works without a CPAP Machine
This is not a CPAP Mask
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CPAPNEA MEDICAL SUPPLY     
10443 N Cave Creek Rd,   Phoenix, Arizona
Telephone: (602) 944-0847     
Survey Form
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Using the drop down menu, please select the answer that best describes your response.
1. How long have you been using the EPAP mask?
2. How long did it take to get used to the EPAP mask?
3. How easy was it to decide which size pillows to use?
4. How much expiratory resistance did you decide to use?
5. On the average, how many nights/week do you use the EPAP mask?
6. On the average, how many hrs/night do you use the EPAP mask?
7. Liked it or not, was the EPAP mask safe to use?
8. On a scale of 10 to 1, how loud/bad did you snore? (10 is loud)
10. On a scale of 10 to 1, was it easy to adjust the expiratory resistance?
11. On a scale of 10 to 1, would you use the EPAP mask during travel?
12. On a scale of 10 to 1, do you feel better when you use the EPAP mask? 
13. On a scale of 10 to 1, would you recommend the EPAP mask to others?
14. Additional comments
      (Including adverse events)
9. On a scale of 10 to 1, did the EPAP mask eliminate your snoring? 
TM