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Guyana National Kidney Stone Survey

The following survey looks at KIDNEY STONES in Guyana. Please fill it out whether or not you have stones. We are trying to get an estimation of how common kidney stones are locally and we need as many people as possible to fill it out.

The study is looking at stones in the kidney or ureters (kidney tubes) only. It DOES NOT deal with bladder stones or gallstones.

It should only take a few minutes of your time. Please answer ALL questions unless otherwise stated. This survey is anonymous and no one can see your name or individual answers after the survey is done. Please fill out this survey by yourself and to the best of your knowledge without looking up answers. Please remember to hit the Submit button at the end!

This survey may help improve care for all patients in Guyana.

By completing this survey you agree to participate voluntarily.



Thank you,

Dr Rajendra Sukhraj (Supervisor)
Dr Cosmos Ikpefuran
Dr Parmanand Gopie

Dept of Surgery, Division of Urology
Georgetown Public Hospital

Dr Satyendra Persaud
UWI, Trinidad and Tobago

If you have any questions please email us at urology.dept.gphc@gmail.com
1.How old are you? (In years)(Required.)
2.What is your gender?
3.How tall are you? (  In feet and inches)(Required.)
4.How much do you weigh? (In pounds)(Required.)
5.What is your race or ethnicity?(Required.)
6.What is your level of education?(Required.)
7.Where do you live in Guyana?(Required.)
8.Do you have any of the following conditions? (TICK All OF THE ONES YOU HAVE)(Required.)
9.Where do you spend the majority of the day:(Required.)
10.Are you a smoker?(Required.)
11.Do you currently have kidney stones?  (Confirmed with scans or X-rays)(Required.)
12.Which best describes your kidney stone history?(Required.)
13.Which best applies to you(Required.)
14.If you have have or had kidney stones, how old were you when you first got them? If you have never had stones, leave the question blank.
15.Do you have close family members who have/had stones? (mom, dad, siblings)(Required.)
16.Do you have extended family who have/had kidney stones? (Aunts/Uncles/Cousins/Grandparents)
(Required.)
17.IF YOU HAVE KIDNEY STONES have you a surgery/procedure to treat them?(Required.)
18.If you had a procedure for kidney stones, what procedure did you have? TICK ALL THE ONES YOU HAVE HAD. Leave the question blank if you haven't had any or dont have stones.
19.If you have kidney stones,has any medical professional ever talked to you about what dietary changes to make?(Required.)
20.Which of the following are dietary changes which should be made by persons with kidney stones to reduce the risk of recurrence (TICK ALL THE ONES YOU THINK ARE TRUE)(Required.)
21.Eating fruits/vegetables with plenty of seeds may cause kidney stones(Required.)
22.Using a warm beer may help pass/dissolve kidney stones
(Required.)
23.Using olive oil may lubricate the stone and allow it to pass
(Required.)
24.Obesity increases the risk of kidney stone formation
(Required.)
25.If you have had kidney stones, which of the following have you used? TICK ALL THE ONES YOU HAVE USED.(Required.)
26.If you can remember what herbs you used for your kidney stones please list them below