COE Inception Conference

Conference Feedback Survey

Thank you for attending the 2022 PKD Foundation Centers of Excellence (COE) Inception Conference. We appreciate your feedback and look forward to utilizing your thoughts and feedback to better the COE experience.

Question Title

* 1. What is your profession?

Cardiologist

Dietician

Family Physician

Fitness Trainer

Genetics Councilor

Healthcare

Internal Medicine Physician

Nephrologist

Neurologist

Pain Specialist

Patient Stakeholder

Pediatric Nephrologist

Pediatric Psychology

Pharmacist

Obstetrician

Psychiatrist

Pscyhologist

Radiologist

Registered Nurse

Renal Nurse

Research Coordinator

Social Worker

Transplant Coordinator

Transplant Nephrologist

Question Title

* 2. How likely are you to apply for the PKD Foundation's ADPKD Centers of Excellence program?

Very Likely

Somewhat Likely

Unsure

Somewhat Unlikely

Very Unlikely

Very Likely

Somewhat Likely

Unsure

Somewhat Unlikely

Very Unlikely

Question Title

* 3. If you chose unsure, somewhat unlikely or very unlikely (Question 1), please tell us more:

Question Title

* 4. Please rate the following elements of the COE program (1 = Very Exciting; 5 = Least Exciting):

Question Title

* 5. Are you interested in serving on the COE application review committee?

Yes

Question Title

* 6. If yes (Question 4), please provide your name and email address, and we’ll send more details.

Question Title

* 7. Do you have any additional feedback that was not shared during the forum that you would like to provide on the Centers of Excellence program?

Question Title

* 8. Would you like the PKD Foundation team to respond to your questions or comments?

Yes

COE Inception Conference

Conference Feedback Survey

Question Title

* 1. What is your profession?

Question Title

* 2. How likely are you to apply for the PKD Foundation's ADPKD Centers of Excellence program?

Question Title

* 3. If you chose unsure, somewhat unlikely or very unlikely (Question 1), please tell us more:

Question Title

* 4. Please rate the following elements of the COE program (1 = Very Exciting; 5 = Least Exciting):

Question Title

* 5. Are you interested in serving on the COE application review committee?

Question Title

* 6. If yes (Question 4), please provide your name and email address, and we’ll send more details.

Question Title

* 7. Do you have any additional feedback that was not shared during the forum that you would like to provide on the Centers of Excellence program?

Question Title

* 8. Would you like the PKD Foundation team to respond to your questions or comments?

Question Title

* 9. If yes, please provide email