Form 1 Training pre-test post-test

ATTACHMENT 1 OMB#0925-XXXX

Exp. Date: XX/XXXX

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Participant ID #__________

NKDEP Evaluation – Promotores Training Pre-test and Post-test Survey

Check one: □ Pre-Test □ Post-Test

Please check one box for each of the following statements:

	True	False	Don’t Know
				Diabetes is the main cause of kidney disease.
				High blood pressure affects the kidneys.
				Most cases of chronic kidney disease can be treated but cannot be cured.
				Most people can tell when they are first developing kidney disease because they usually have pain in their kidneys.
				It is important to get tested for kidney disease if you have diabetes, high blood pressure, heart disease, or a family history of kidney failure.
				Blood tests are recommended to check for kidney disease.
				Urine tests are not recommended to check for kidney disease.
				Diet changes, such as cutting back on salt, help to slow down kidney disease.
				Lifestyle changes, such as getting more exercise and losing weight, will not slow down kidney disease.
				Only doctors who are kidney specialists can treat early kidney disease.
				Kidney disease always leads to kidney failure.
				Dialysis is a treatment for kidney failure.

13. Are you familiar with materials/resources from the National Kidney Disease Education Program?

    1. Yes

    2. No

    3. I don’t know