Pre Cath Dry Hemodialysis Survey Question Title * 1. I enjoy hemodialysis Strongly disagree Disagree Agree Strongly agree Other (please specify) Question Title * 2. My hemodialysis catheter has been in place for < 1 month 1 - 2 months 2 - 3 months 3 - 4 months 4 - 5 months > 5 months Question Title * 3. Have you ever had a hemodialysis catheter infection? Yes No Question Title * 4. Did you ever have to be hospitalized for a catheter infection? Yes No Not Applicable (If you answered No to question 2) Question Title * 5. How does the risk of getting a catheter infection make you feel? Not at all anxious Slightly anxious Anxious Very anxious Question Title * 6. How satisfied do you feel when you are able to shower? Not at all satisfied Slightly satisfied Moderately satisfied Very satisfied Question Title * 7. Do you ever try showering or swimming with your catheter? Yes No Question Title * 8. How many days per week do you shower with your catheter? 0 1 2 3 4 5 6 7 Question Title * 9. Have you ever been advised not to shower with your catheter? Yes No If yes, please explain Question Title * 10. Having a catheter has affected my hygiene habits Strongly disagree Disagree Agree Strongly agree Question Title * 11. How clean do you feel when avoiding showers? Dirty Slightly dirty Moderately clean Very clean Question Title * 12. My catheter feels clean + protected with gauze and tape Strongly disagree Disagree Agree Strongly agree Question Title * 13. Not being able to shower has affected my quality of life and hemodialysis experience negatively? Strongly disagree Disagree Agree Strongly Agree Question Title * 14. How interested would you be if a device existed that could decrease catheter infection rates? Very interested Interested Somewhat interested Not be interested Question Title * 15. How interested would you be if a device existed that would allow you to shower safely with your catheter? Very interested Interested Somewhat interested Not interested Question Title * 16. In your own words, what are the things that you would like most if a product allowed you to shower with your catheter? Submit response >>
