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* 1. As a dialysis patient, how concerned are you about the current outbreak of Coronavirus (COVID-19) in the United States?

1 (not concerned at all) 3 (somewhat concerned) 5 (very concerned)
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i We adjusted the number you entered based on the slider’s scale.

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* 2. Have you experienced any disruptions to date in following your standard dialysis appointment schedule?  Please select all that apply.

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* 3. Has your dialysis facility provided any type of communication outreach (letter, phone message, email) providing guidance about your treatment in-center or any changes to facility protocols?

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* 4. If you are on home dialysis (home hemodialysis or peritoneal dialysis), have you experienced any disruptions in receiving supplies?

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* 5. Have you reached out to a member of your healthcare team or medical facility/center (such as a dialysis center) via email or phone to talk to them about Coronavirus and potential impacts on you as a dialysis patient at any time within the last few months?

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* 6. If you are on the transplant waitlist, have you received any recent communication from your transplant center about the status of your listing?

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* 7. As a dialysis patient, who or what do you consider the most credible and authoritative source of information for you and your family regarding Coronavirus and the potential threat to immuno-compromised patients? (Rank from 1 to 10, with 1 being who or what you consider most credible and 10 who or what you consider least credible.)

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* 8. Based on what you know today about the outbreak of Coronavirus in the United States, do you believe you, as a dialysis patient, are vulnerable to the Coronavirus?

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* 9. Do you know what to do if you are diagnosed with Coronavirus (COVID-19) and need dialysis?

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* 10. Based on the knowledge you have about Coronavirus, have you taken any of the following prevention steps?

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* 11. Have you experienced difficulty in the past several weeks purchasing antibacterial hand sanitizer/wipes, soap, or other personal care or consumer goods you would buy as part of your safety plan during an illness outbreak?

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* 12. Please share with us any barriers or challenges you have experienced in recent months relating to Coronavirus.

Thank you for taking the time to participate in this Flash Survey. Your responses are invaluable. To submit your responses, please click the "Done" button below. For more information about AAKP, visit www.aakp.org and follow us on social media: Facebook @kidneypatient and Twitter @kidneypatients.
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