Sleep Labs of Acadiana

Sleep Labs of Memphis
1176 Vickery Lane, Suite 100
Cordova, TN 38016
(901)756-4667
(800)686-0549
FAX: (901)756-4142

Mid-South Sleep Disorders Clinic
382-B Carriage House Drive
Jackson, TN 38305
(731)664-8874
(800)664-8716
FAX: (731)664-8932

Hammond Sleep Disorders Clinic
2570 SW Railroad Ave., Unit B1
Hammond, LA 70403
(985)370-9330
(800)832-0535
FAX: (985)370-9331

Deep South Sleep Disorders Clinic
7809 Jefferson Highway, Suite F-1
Baton Rouge, LA 70809
(225)925-3357
(800)917-6673
FAX: (225)924-9863

I have visited Sleep Labs of Acadiana and would like to fill out a Patient Satisfaction Survey.

Please fill out the form and press "Submit Form" at the bottom when finished.

Enter Your Name:	Date:
For each question please respond in the check between 1 and 5, with 1 being the least favorable and 5 being the most favorable rating.

1. When you arrived, did the facility appear neat and orderly?
1 2 3 4 5

2. Overall, how would you rate the appearance of the facility?
1 2 3 4 5

3. Were your surroundings comfortable (bed, room, temperature, etc.)?
1 2 3 4 5

4. Did the technician who performed your study seem courteous and polite?
1 2 3 4 5

5. Did the technician who performed your study seem knowledgeable?
1 2 3 4 5

6. Were all your questions about your procedure answered?
1 2 3 4 5

7. Did you consider the location of our facility convenient?
1 2 3 4 5

8. Did you consider your scheduling process easy and convenient?
1 2 3 4 5

9. Did you consider your study time convenient?
1 2 3 4 5

10. If you stayed for daytime studies, were you satisfied with your meals?
1 2 3 4 5

11. Did you receive follow-up regarding treatment?
1 2 3 4 5

12. Were all your questions answered in a courteous and professional manner?
1 2 3 4 5

13. Would you recommend Sleep Labs of Acadiana to family or friends who might suffer from a sleep disorder?
Yes No

14. Have you seen your physician for follow-up?
Yes No

15. Please list any other comments or suggestions concerning your experience at Sleep Labs of Acadiana:

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