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User Evaluation: Medicare Compare Patient Education Handout (Formerly DFC: Dialysis Facility Compare)
Thank you for your feedback on the Medicare Compare Patient Education Handout.
This data is being collected by the National Forum of ESRD Networks on behalf of the 18 ESRD Networks in the United States.
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1.
In what state or U.S. territory do you currently live?
(Required.)
Alabama
Alaska
American Samoa
Arizona
Arkansas
California
Colorado
Connecticut
Delaware
District of Columbia (DC)
Florida
Georgia
Guam
Hawaii
Idaho
Illinois
Indiana
Iowa
Kansas
Kentucky
Louisiana
Maine
Maryland
Massachusetts
Michigan
Minnesota
Mississippi
Missouri
Montana
Nebraska
Nevada
New Hampshire
New Jersey
New Mexico
New York
North Carolina
North Dakota
Northern Marianas Islands
Ohio
Oklahoma
Oregon
Pennsylvania
Puerto Rico
Rhode Island
South Carolina
South Dakota
Tennessee
Texas
Utah
Vermont
Virginia
Virgin Islands
Washington
West Virginia
Wisconsin
Wyoming
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2.
Please choose one of the following which best describes you.
(Required.)
Kidney Patient / Caregiver / Care Partner
Staff member at a Dialysis Facility
Other (please specify)
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3.
What is your Dialysis Facility Affiliation?
(Required.)
DaVita or Fresenius Kidney Care
Other Medium or Small Dialysis Chain (i.e. DCI, US Renal, Northwest Kidney Center)
Hospital Based Dialysis Facility
Other (please specify)
Current Progress,
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