Kidney Education Webinar Daytona

Join us for free monthly kidney disease education designed for anyone at risk or already living with kidney disease. Open to All! No referral required

Who should attend?

• Anyone at risk for kidney disease
• Those living with diabetes, hypertension, or a family history of kidney disease
• Individuals diagnosed with stage 2, 3, or 4 kidney disease
• Family members and caregivers are welcome

What to expect?

• Sessions last about an hour
• Expert-led education on kidney health
• Time for questions and answers
• Practical steps to manage kidney disease

Why attend?

• Get reliable, easy-to-understand information
• Learn how to protect your kidney health
• Gain confidence in managing your condition

Register today! Help us tailor the session to your needs by registering in advance.

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Name *

First

Last

Email *

Phone

Which clinic referred you?

Who is your primary care physician and/or Nephrologist?

Do you know what stage of kidney disease you have?

• Stage 1
• Stage 2
• Stage 3
• Stage 4
• Stage 5
• Unsure

Do you have diabetes?

• Yes
• No
• Unsure

Do you have hypertension (high blood pressure)?

• Yes
• No
• Unsure

Pre-Education Assessment

1. How would you rate your understanding of kidney disease?

• 1 – Very poor
• 2
• 3
• 4
• 5 – Excellent

2. How confident are you filling out medical forms by yourself?

• Not at all
• A little
• Somewhat
• Quite a bit
• Extremely

3. I understand what kidney disease stage I'm in.

• Strongly disagree
• Disagree
• Neutral
• Agree
• Strongly agree

4. I can name at least one way to manage my kidney health.

• Strongly disagree
• Disagree
• Neutral
• Agree
• Strongly agree

5. I feel in control of my kidney health.

• Strongly disagree
• Disagree
• Neutral
• Agree
• Strongly agree

6. How likely are you to follow up with your doctor?

• 1 – Not likely at all
• 2
• 3
• 4
• 5 – Extremely likely

What questions would you like answered or what concerns do you have about kidney disease?

Tech Check

Do you have a smartphone/computer/tablet?

• Yes
• No

Are you comfortable using Zoom/video platforms?

• Yes
• No

STATEMENT OF CONSENT

information Check can

I authorize the National Kidney Foundation of Florida (NKFF), in partnership with Humana, Bayer, and other collaborators, to collect, use, and share my personal health information—including details related to kidney disease, diabetes, high blood pressure, and related conditions—for participation in the KIDNEY Collective education program. I understand this information will be used only for education and care coordination, and not sold or disclosed beyond this initiative. Participation is voluntary and won’t affect my medical care. I may revoke consent in writing at any time. *

• Yes
• No

Submit