Thanks for coming - we're looking forward to learning your opinions

First please tell us a little about yourself.
Remember, all information is confidential.

which term best describes you (select the most suitable)

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* 1. which term best describes you (select the most suitable)

Are you male or female?

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* 2. Are you male or female?

What is your age?

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* 3. What is your age?

When thinking of yourself or your primary patient's CKD, what best describes the stage

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* 4. When thinking of yourself or your primary patient's CKD, what best describes the stage

Who is the primary cook in your household?

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* 5. Who is the primary cook in your household?

How often do you cook your own meals?

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* 6. How often do you cook your own meals?

How confident or comfortable do you feel with the treatment program for CKD?

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* 7. How confident or comfortable do you feel with the treatment program for CKD?

  Not at all Quite Good but could learn more Very N/A
Dialysis 
Diet
Medication
Where do you typically find information on CKD diet?
Please select the 2 sources that you most often use.

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* 8. Where do you typically find information on CKD diet?
Please select the 2 sources that you most often use.

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