Patient Feedback

As a user of supplemental oxygen, you have the best insight into what works and what doesn't when it comes to your oxygen delivery system.  Your input helps us to better understand your needs, wants and preferences and create products that work for you.   Please take a moment to fill out this feedback form and share your thoughts with us.

Contact Information

Name
Address
Telephone
FAX
E-mail


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Which Product(s) do you currently use, and how long have you used it (them)?

Nasal Cannula  
SCOOP Transtracheal Catheter
Oxy-View Eyewear

If you currently use a SCOOP transtracheal catheter:

How long did you use a nasal cannula before switching?        

How often do you get new catheters?     Approximately every 

Overall, how satisfied are you with your current oxygen delivery product(s)?

Do you have any suggestions for improving our oxygen delivery product(s)?

Thank You!
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