AWAKE PEER MENTOR SURVEY

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Thank you for participating in our AWAKE Peer Mentor Program! Please take a moment to complete this quick survey about your experience with the program. It will help us assist you on your sleep apnea journey.

Peer Mentor - Mentees Survey
What type of training did you receive before the Peer Mentor Program? Please check all that apply:
If you DID receive training, what topics did your provider cover? Please check all that apply:
As a non-profit, 501C3 organization, we often work with research institutions and other healthcare programs. Please complete the questions to better inform us about your patient journey, and we will only use it for reporting purposes. This information will remain private and confidential.
Are your Hispanic or Latino (A person of Cuban, Mexican, Puerto Rican, South or Central American, or other Spanish culture or origin, regardless of race.)
Do you have any of the following co-occurring medical conditions? Please check all that apply: