Table 1.
Questions to obtain patient's feedback and corresponding rating descriptions
| Rating | |||||
|---|---|---|---|---|---|
| Question | 1 | 2 | 3 | 4 | 5 |
| Q1. How comfortable was this mask compared to your old mask? | Much less comfortable | Less comfortable | Equally comfortable | More comfortable | Much more comfortable |
| Q2. How much air leakage was there? | A lot of leakage | Some leakage which bothered me | Some leakage but did not bother me | Insignificant leakage | No leakage at all |
| Q3. Do you prefer this mask over your old mask? | No, not at all | Not really | Neutral, both are similar | Yes, I would try it for longer | Yes, definitely |
| Q4. Would you recommend a similar custom-fit mask to others? | No, I will not recommend it to anyone | No, I generally will not recommend it | Neutral, I will only offer my experience when asked | Yes, I would recommend it only if asked | Yes, I would go out of my way to recommend it |
| Q5. Do you think you can wear this mask every day for a long time? | No, I will not be able to | No, I can tolerate it only for a few days | Not sure if I can tolerate it for long term | Yes, I can tolerate it most of the time | Yes, definitely |
| Q6. If there was air leakage, (a) where was the leak? (b) How did it affect you? | Open-ended | ||||
| Q7. Any suggestions for improvements to this mask design? | Open-ended | ||||
| Q8. Any other thoughts? | Open-ended | ||||