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Book Two Evaluation Form

Evaluation Form

Book Two: Living with kidney failure

We would like to know how helpful you found our handbook. Please take a few minutes to complete this evaluation.

All responses are confidential and will be used to help us to continue to improve our handbooks and other Kidney Foundation resources.

Where did you receive this handbook?

Where did you receive this handbook?

Who provided you with this handbook?

Who provided you with this handbook?

Did you receive this handbook at a time when it was most helpful to you?

When would it have been more useful to receive this handbook? *This question is required.

Overall how helpful was the handbook in increasing your knowledge about kidney disease?

Very Good	Good	Fair	Poor	Very Poor
Very Good	Good	Fair	Poor	Very Poor

Did this handbook help you to understand how to protect and preserve your remaining kidney function?

What would have been more helpful to you? *This question is required.

Is there any information you feel should be added or removed from this handbook?

Please indicate how useful you found the information in this handbook to be overall.

Space Cell	Very Good	Good	Fair	Poor	Very Poor
Overall, how would you rate the information provided?	Overall, how would you rate the information provided?: Very Good	Overall, how would you rate the information provided?: Good	Overall, how would you rate the information provided?: Fair	Overall, how would you rate the information provided?: Poor	Overall, how would you rate the information provided?: Very Poor
How helpful was this handbook in addressing your specific concerns and questions about CKD?	How helpful was this handbook in addressing your specific concerns and questions about CKD?: Very Good	How helpful was this handbook in addressing your specific concerns and questions about CKD?: Good	How helpful was this handbook in addressing your specific concerns and questions about CKD?: Fair	How helpful was this handbook in addressing your specific concerns and questions about CKD?: Poor	How helpful was this handbook in addressing your specific concerns and questions about CKD?: Very Poor

Please rate how each of the following aspects of this handbook met your needs:

Space Cell	Very Good	Good	Fair	Poor	Very Poor
The organization of the information	The organization of the information: Very Good	The organization of the information: Good	The organization of the information: Fair	The organization of the information: Poor	The organization of the information: Very Poor
Ease of use (was it easy to find what you were looking for)	Ease of use (was it easy to find what you were looking for): Very Good	Ease of use (was it easy to find what you were looking for): Good	Ease of use (was it easy to find what you were looking for): Fair	Ease of use (was it easy to find what you were looking for): Poor	Ease of use (was it easy to find what you were looking for): Very Poor
Personalization (was it easy to make notes and track your personal information)	Personalization (was it easy to make notes and track your personal information): Very Good	Personalization (was it easy to make notes and track your personal information): Good	Personalization (was it easy to make notes and track your personal information): Fair	Personalization (was it easy to make notes and track your personal information): Poor	Personalization (was it easy to make notes and track your personal information): Very Poor
How easy was it to read and understand	How easy was it to read and understand: Very Good	How easy was it to read and understand: Good	How easy was it to read and understand: Fair	How easy was it to read and understand: Poor	How easy was it to read and understand: Very Poor
Use of pictures, diagrams and icons	Use of pictures, diagrams and icons: Very Good	Use of pictures, diagrams and icons: Good	Use of pictures, diagrams and icons: Fair	Use of pictures, diagrams and icons: Poor	Use of pictures, diagrams and icons: Very Poor

Please indicate how useful you found the information in each chapter to be overall.

Space Cell	Very Good	Good	Fair	Poor	Very Poor
Chapter 1 - Exploring your treatment options	Chapter 1 - Exploring your treatment options: Very Good	Chapter 1 - Exploring your treatment options: Good	Chapter 1 - Exploring your treatment options: Fair	Chapter 1 - Exploring your treatment options: Poor	Chapter 1 - Exploring your treatment options: Very Poor
Chapter 2 - Dialysis	Chapter 2 - Dialysis: Very Good	Chapter 2 - Dialysis: Good	Chapter 2 - Dialysis: Fair	Chapter 2 - Dialysis: Poor	Chapter 2 - Dialysis: Very Poor
Chapter 3 - Diet and dialysis	Chapter 3 - Diet and dialysis: Very Good	Chapter 3 - Diet and dialysis: Good	Chapter 3 - Diet and dialysis: Fair	Chapter 3 - Diet and dialysis: Poor	Chapter 3 - Diet and dialysis: Very Poor
Chapter 4 - Transplant	Chapter 4 - Transplant: Very Good	Chapter 4 - Transplant: Good	Chapter 4 - Transplant: Fair	Chapter 4 - Transplant: Poor	Chapter 4 - Transplant: Very Poor
Chapter 5 - Non-dialysis supportive care	Chapter 5 - Non-dialysis supportive care: Very Good	Chapter 5 - Non-dialysis supportive care: Good	Chapter 5 - Non-dialysis supportive care: Fair	Chapter 5 - Non-dialysis supportive care: Poor	Chapter 5 - Non-dialysis supportive care: Very Poor
Chapter 6 - Advance care planning	Chapter 6 - Advance care planning: Very Good	Chapter 6 - Advance care planning: Good	Chapter 6 - Advance care planning: Fair	Chapter 6 - Advance care planning: Poor	Chapter 6 - Advance care planning: Very Poor
Chapter 7 - Practical matters: work, money and insurance	Chapter 7 - Practical matters: work, money and insurance: Very Good	Chapter 7 - Practical matters: work, money and insurance: Good	Chapter 7 - Practical matters: work, money and insurance: Fair	Chapter 7 - Practical matters: work, money and insurance: Poor	Chapter 7 - Practical matters: work, money and insurance: Very Poor
Chapter 8 - Living well with kidney failure	Chapter 8 - Living well with kidney failure: Very Good	Chapter 8 - Living well with kidney failure: Good	Chapter 8 - Living well with kidney failure: Fair	Chapter 8 - Living well with kidney failure: Poor	Chapter 8 - Living well with kidney failure: Very Poor

Would you recommend this handbook to other people who are living with kidney failure?

If no, please explain: