O2VERLAP PAP Survey

Survey for the COPD and OSA community on PAP use!

Thank you for volunteering information on your use of positive airway pressure or PAP (i.e. CPAP, BiPAP and APAP) and your use of oxygen, if you use both therapies. This survey is meant for individuals who have a diagnosis of BOTH chronic obstructive pulmonary disease AND obstructive sleep apnea. We greatly appreciate the feedback and information you choose to provide to us; this information will help the COPD Foundation and American Sleep Apnea Association better understand community needs. Thank you!

Survey Legend

COPD- Chronic Obstructive Pulmonary Disease

OSA- Obstructive Sleep Apnea

PAP (positive airway pressure) device acronyms:

CPAP- Continuous positive airway pressure

BiPAP- Bilevel airway positive airway pressure

APAP- Automatically adjusting positive airway pressure

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* 1. What year were you diagnosed with sleep apnea?

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* 2. What year were you diagnosed with COPD?

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* 3. Are you using CPAP, BiPAP or APAP therapy?

Yes

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* 4. If you answered yes to using CPAP, BiPAP, or APAP therapy, what is the make and model of your device?

Make (e.g., Philips, ResMed)?

Model?

How long have you been using this model?

Does your machine send out data wirelessly?

Do you use an app to track your CPAP data?

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* 5. Are you using oxygen therapy?

Yes

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* 6. If you answered yes to using supplemental oxygen therapy, please describe the following:

Model?

How long have you been using this model?

Describe at what time(s) during the day you use your oxygen:

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* 7. Would you like to be contacted to participate in COPD and OSA research in the future? If so, please answer:

Best email:

Best phone number (will NOT be used for any other purposes or shared with third parties):