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Airnetic Veterinary Oxygen Survey Form

Complete this quick 3 minute Oxygen survey for a FREE oxygen cost analysis. The free report helps identify opportunities in your practice that could be costing you thousands of dollars a year.

To receive an accurate and meaningful cost-savings analysis (based on your actual daily maximum (peak) Oxygen usage) please refer to your actual oxygen invoices from the past 6 months. Then simply fill in the blanks. Thank You!

Oxygen Usage

Which of these Oxygen using items do you have in your practice?

Number of Anesthesia machines in use.

Total hours in use per day.

Number of Respirators/Venilators in use.

Total hours per day respirator and/or ventilators are in use. If none enter 0.

Number of Snyder ICU cages in use. If none enter 0.

The Snyder ICU cage flow-meter setting when in use. If none enter 0.

Total hours the Snyder ICU cage is in use per day. If none enter 0.

Number of OTHER ICU-type cages in use. If none enter 0.

Total hours other ICU cages are used per day. If none enter 0.

What is your average Oxygen cost-per-month (from the ACTUAL monthly oxygen invoices) for the past three months.

Total number of green bottled (H) oxygen tanks used per week.

Total number of liquid oxygen tanks used per week. If none enter 0.

Possible Future Oxygen Equipment Purchases. If none enter None.

Please add any additional information or oxygen equipment not shown above that will help us determine your maximum (PEAK) daily oxygen use. Enter NONE if nothing else to add.