Sign up for CKD Coaching
Thank you for your interest participating in the Keep Moving Challenge. We hope you'll have a lot fun participating in the challenge on RenalMate App and connecting CKD community and coaches.
Please fill the survey by providing us information that will help to tailor the activity program and coaching for your specific needs.
Email address *
What's your name? *
What's your activity level now? *
What motivated you to join the Keep Moving Challenge? *
What's your phone number? *
What's your IG (Instagram) account name? ex: @renalmate
What's your CKD stage? *
What's your favorite activity? *
Do you track your steps or activity level with the Smart watch, sensors or Apps? *
Rate your sleep quality *
very low
excellent, sleep like a baby
Rate your stress level ( 1 - very low; and 10 - very high ) *
Rate your diet adherence to Diabetic or/and CKD ( 1 - very low; and 10 - very high) *
Rate your daily motivation level to stay healthy, active, adhering to CKD guidance
very low
very high
Clear selection
What are your biggest goals for 2019?
A copy of your responses will be emailed to the address you provided.
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