Medical Professionals Survey
The National Kidney Foundation of Indiana needs your input with the programs and services offered to those with, and at risk of developing kidney disease.  We hope that you will please take a few minutes to complete this brief survey so we can better understand how to best serve you, and your patients.  
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What is your area of expertise?
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What category of patients do you provide care for?
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Where do you work?
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What is the zip-code of your facility?
Check if you are familiar with the programs currently offered by the National Kidney Foundation of Indiana: STUART A. KLEIT SYMPOSIUM
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Check if you are familiar with the programs currently offered by the National Kidney Foundation of Indiana: KIDNEY CAMP
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Check if you are familiar with the programs currently offered by the National Kidney Foundation of Indiana: STUDENT SCHOLARSHIPS
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Check if you are familiar with the programs currently offered by the National Kidney Foundation of Indiana: EMERGENCY FUND FOR DIALYSIS PATIENTS
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Check if you are familiar with the programs currently offered by the National Kidney Foundation of Indiana: THE BIG ASK, THE BIG GIVE (Strategies to find a living kidney donor)
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Check if you are familiar with the programs currently offered by the National Kidney Foundation of Indiana: INDIANA KIDNEY CHECK (kidney health screening)
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Check if you are familiar with the programs currently offered by the National Kidney Foundation of Indiana: KIDNEY WALK
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Of these programs, select those that you have worked with or participated in (Please check all that apply)
 The NKFI would like to update our current programs to best serve the population of Indiana at risk for, or living with kidney disease.  What needs of your patients with kidney disease can the NKFI better serve? (Please check all that apply)
Educating patients and the public about CKD is part of the National Kidney Foundation of Indiana’s mission. What platforms would your patients most likely utilize?  (Please Check all that apply)
Additional comments on how the NKFI can better serve your patients
If you would like to learn more about the National Kidney Foundation of Indiana, please provide your name, email address, and phone number
I would like more information on (Please check all that apply)
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