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Tennessee Kidney Foundation

Empowering and supporting those at risk or affected by kidney disease

Please note TKF’s new mailing address: P.O. Box 330989, Nashville, TN 37203 and shipping address: 1600 Hayes Street, Suite 300, Nashville, TN 37203.

What is Kidney Disease?
Support TKF
- Donate
  - Monthly Giving Campaign
- Volunteer
Get Help
About
- Leadership and Job Opportunities
- Programs
Events
Contact

What is Kidney Disease?
Support TKF
- Donate
  - Monthly Giving Campaign
- Volunteer
Get Help
About
- Leadership and Job Opportunities
- Programs
Events
Contact

Post Screening Survey

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Post Screening Survey

Thank you so much for taking the time to share your thoughts and opinions in this survey – your valuable input is greatly appreciated! As a thank you for completing the survey, you will be entered into a drawing for an Amazon gift card.

Post Screening Survey

Name

First Last

Email

Date

MM slash DD slash YYYY

Location of kidney health screening

What is chronic kidney disease?

A decrease in function of the kidneys that lasts over three months

The complete lack of function in the kidneys

Temporary damage to a kidney

9 out of 10 people with chronic kidney disease have the disease and do not know.

True

False

What are the two most common causes of chronic kidney disease?

Diabetes and hypertension

Diabetes and obesity

Hypertension and smoking

Were the instructions provided before the screening clear and easy to follow?

Yes

No

Did you experience any discomfort or issues during the screening process?

Yes

No

N/A (I did not have any screening-related discomfort)

If you answered yes to the above question, please briefly describe the discomfort or issues you encountered.

When your results were given to you, were they explained to you in a clear and understandable manner?

Yes

No

What did you learn from the kidney screening event?

Were your concerns addressed at today’s screening? If not, please let us know what we could have done better.

Please provide any additional feedback below to help us improve.

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Sign Up to Volunteer

Screenings Volunteer Signup

Please select the volunteer opportunity you'd like to help with:
- Fundraising (Up Next: Kidney Disease Awareness / Monthly Donor Campaign - March 2021)
- Special Event Volunteer (Up Next: Gala – Saturday, June 19, 2021)
Please provide your preferred screening volunteer assignment:
Name
First Last
Address
Street Address Address Line 2 City State ZIP Code
Phone
Email
Comments
This field is for validation purposes and should be left unchanged.

Lindsey Collier

I volunteer with the TKF because 1 in 3 American adults are at risk for kidney disease and I know the TKF relies on individuals in the community to step-up and freely give their time in order to help sustain its empowering programs for those at risk or affected by kidney disease in our TN communities. I truly believe the volunteer work I do with the TKF is vital to ensuring this marginalized group receives the critical support needed to positively impact their livelihood.

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