JavaScript isn't enabled in your browser, so this file can't be opened. Enable and reload.
For patients: Website feedback
www.kidneytransplanthub.com
is a website with a selection of resources for patients at each step of the kidney transplant journey.
Your feedback is important to us. Tell us how we could improve this website.
Sign in to Google
to save your progress.
Learn more
* Indicates required question
Information on this website is valuable for people considering a transplant
*
Strongly agree
Agree
Neither agree nor disagree
Disagree
Strongly disagree
Information on this website made me more motivated to seek a kidney transplant
*
Strongly agree
Agree
Neither agree nor disagree
Disagree
Strongly disagree
This website helped me understand the steps I need to take in order to receive a transplant
*
Strongly agree
Agree
Neither agree nor disagree
Disagree
Strongly disagree
This website increased my awareness of what I can do to improve my chances of receiving a kidney sooner
*
Strongly agree
Agree
Neither agree nor disagree
Disagree
Strongly disagree
How might we make this website better for other patients?
*
Your answer
Which state do you live in?
*
Choose
Alabama
Alaska
Arizona
Arkansas
California
Colorado
Connecticut
Delaware
Florida
Georgia
Hawaii
Idaho
Illinois
Indiana
Iowa
Kansas
Kentucky
Louisiana
Maine
Maryland
Massachusetts
Michigan
Minnesota
Mississippi
Missouri
Montana
Nebraska
Nevada
New Hampshire
New Jersey
New Mexico
New York
North Carolina
North Dakota
Ohio
Oklahoma
Oregon
Pennsylvania
Rhode Island
South Carolina
South Dakota
Tennessee
Texas
Utah
Vermont
Virginia
Washington
West Virginia
Wisconsin
Wyoming
District of Columbia
Guam
American Samoa
U.S. Virgin Islands
Northern Mariana Islands
Submit
Clear form
Never submit passwords through Google Forms.
This content is neither created nor endorsed by Google.
Report Abuse
-
Terms of Service
-
Privacy Policy
Forms
