Promoting Excellence : Study of Dialysis Patients: Health and Well-Being

National Kidney Foundation of Michigan: Study of Dialysis Patients: Health and Well-Being

A questionnaire designed for patients with end stage renal disease by the National Kidney Foundation of Michigan on the psycho/social and emotional well-being of dialysis patients.

Evaluation Tools - Satisfaction/Perception of Care

National Kidney Foundation
1169 Oak Valley Dr
Ann Arbor, MI 48108

Erica Perry, MSW
[email protected]

How the grantee used this instrument:
The questionnaire was given to all dialysis patients in dialysis units enrolled in the Peer Mentoring Program, with and without peer mentors. It was voluntary and returned by mail.

patient experience, patient satisfaction, satisfaction survey, outpatient, assessment, psychosocial, ESRD, renal, dialysis, assessment, end stage renal disease, kidney disease, dialysis

To use this tool:
You may print and copy this tool for your own use from the website. Please credit source.

Developed by the University of Pennsylvania School of Nursing and the Genesis Palliative Care Center for this project.

To view this tool:
Left click on the download link to view the PDF document in your Web browser. Right-click on the download link to save the document to your computer.
pdf PDF 1.55 MB / 10 pages (Viewing PDF files requires downloading and installation of the free Adobe Acrobat Reader.)

Posted November 2004

# NKF02, type:satisfaction/perception_care

Promoting Excellence in End-of-Life Care was a national program of the Robert Wood Johnson Foundation dedicated to long-term changes in health care institutions to substantially improve care for dying people and their families. Visit for more resources.

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