Skip survey header

Transition Smart Acutes Patient Survey

1. How would you best identify yourself?
2. This education was presented in a way I could understand. *This question is required.
Highly DisagreeMostly DisagreeSomewhat DisagreeNeither Agree or DisagreeSomewhat AgreeMostly AgreeHighly Agree
3. This education made me better prepared to start dialysis. *This question is required.
Highly DisagreeMostly DisagreeSomewhat DisagreeNeither Agree or DisagreeSomewhat AgreeMostly AgreeHighly Agree
4.  I was most interested in.... *This question is required.
5. I have or will utilize the patient advocate hotline to help navigate my working and insurance options.
Highly DisagreeMostly DisagreeSomewhat DisagreeNeither Agree or DisagreeSomewhat AgreeMostly AgreeHighly Agree
6. How likely are you to recommend ‘Transition Smart Education’ to a new dialysis patient? Please select a number below with 0 being not at all likely and 10 being very likely*This question is required.
012345678910