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Eating Practices of Dialysis Patients Survey
Dear Sir or Madam, please take a few minutes of your time to complete the following questionnaire.
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1
Do you eat before your dialysis session?
Select whether you eat before your dialysis session.
Yes
No
2
Rate the importance of a balanced diet for dialysis patients.
Rate the importance on a scale of 1 to 10.
3
What types of food do you typically consume before a dialysis session?
Provide details about the types of food you consume.
4
How often do you eat during your dialysis session?
Indicate the frequency of eating during dialysis.
Never
Rarely
Sometimes
Often
5
Rate your satisfaction with the food options provided during dialysis sessions.
Rate your satisfaction on a scale of 1 to 10.
6
Do you follow any dietary restrictions recommended for dialysis patients?
Indicate whether you follow dietary restrictions.
Yes
No
Sometimes
7
What challenges do you face in maintaining a healthy diet as a dialysis patient?
Describe the challenges you encounter in maintaining a healthy diet.
8
How knowledgeable do you feel about nutrition and its impact on your health as a dialysis patient?
Rate your knowledge on a scale of 1 to 10.
9
Are there any specific dietary guidelines provided to you by your healthcare team?
Indicate whether you receive specific dietary guidelines.
Yes
No
10
What improvements would you like to see in the dietary support offered to dialysis patients?
Provide suggestions for enhancing dietary support.
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