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Kidney Transplant Survey

Welcome!

Welcome and thank you for participating in our survey! The goal of this survey is to help us better understand your familiarity with the kidney donation process. The results of this survey will help us develop an educational activity for healthcare providers. Your responses will remain anonymous. 

Use the arrows/buttons at the bottom of the pages to move through the survey. Questions marked with an asterisk are required.

Any information you provide will be used in accordance with our Privacy Notice.

1. How old are you? *This question is required.
2. Which of the following statements best applies to you? *This question is required.
2. Which of the following statements best applies to you? (Select all that apply.) *This question is required.
2. How did you become interested in kidney donation? *This question is required.
2. Rate your agreement with the following statements.   *This question is required.
Space Cell 5-Strongly agree4-Agree3-Neither agree nor disagree2-Disagree1-Strongly disagree
I have been able to find adequate information on the kidney donation process
I believe the transplant team is competent and will keep me safe during the donation process
Most people who receive a kidney transplant gain additional years of healthy life
2. Rate your agreement with the following statements.   *This question is required.
Space Cell 5-Strongly agree4-Agree3-Neither agree nor disagree2-Disagree1-Strongly disagree
The donor surgery is difficult and painful
The recovery after donor surgery is difficult
I am worried that donating a kidney will reduce my life expectancy
I am worried that my donated kidney will be rejected by the recipient’s body
I am worried that my donated kidney will go to a wealthy person first
I am worried that my donated kidney will be prioritized for a particular race/ethnic population
You must donate a kidney to a person of the same race/ethnicity
As a donor, my health insurance will cover donation costs
You can donate a kidney only if you are in good health (eg, someone with hypertension or kidney stones would not be able to donate a kidney)
My religion does not support kidney donation
My age prevents me from donating a kidney
2. How helpful have the following resources been for finding information on donating a kidney? *This question is required.
Space Cell 5-Extremely helpful4321-Not at all helpful
TV/radio
Internet
Friend or family member
Social media (eg, Facebook, Twitter, Instagram, YouTube)
Healthcare professional (eg, kidney doctor, nurse, social worker)
Publications, books, or magazines
2. Do you feel comfortable finding a living donor? *This question is required.
2. Did any of the following provide support to help find a living donor? (Select all that apply.) *This question is required.
2. Rate your agreement with the following statements.  *This question is required.
Space Cell 5-Strongly agree4-Agree3-Neither agree nor disagree2-Disagree1-Strongly disagree
I worry about finding a living donor
I worry that the donor surgery is difficult and painful
I worry that the potential donor may develop health issues as a result of the donation
I worry that the donated kidney will be rejected by my body
I worry about the financial costs related to kidney transplantation
Only blood relatives can donate a kidney to me
Donors must be of the same race/ethnicity
Potential donors must be in good health to donate (eg, someone with hypertension or kidney stones would not be able to donate a kidney)
Age can prevent people from donating a kidney
2. Rate your agreement with the following statements.  *This question is required.
Space Cell 5-Strongly agree4-Agree3-Neither agree nor disagree2-Disagree1-Strongly disagree
I have been able to find adequate information on the kidney donation process to provide to potential donors
I believe the transplant team is competent and will keep me safe during the transplantation process
I understand why a kidney transplant would be beneficial
2. How helpful have the following resources been for finding information on kidney transplantation? *This question is required.
Space Cell 5-Extremely helpful4321-Not at all helpful
TV/radio
Internet
Friend or family member
Social media (eg, Facebook, Twitter, Instagram, YouTube)
Healthcare professional (eg, kidney doctor, nurse, social worker)
Publications, books, or magazines
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Better Healthcare for All
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