Kidney Health Quiz Step 1 of 18 - Contact Information 5% Please let us know to whom and where to email your quiz results.First Name(Required) Last Name(Required) Email(Required) Phone(Required)State(Required)* Select State of ResidenceAlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces PacificNewsletter Signup(Required)* Sign up for the Functional Kidney Care Newsletter? Yes, please No, thank you Your estimated Glomerular Filtration Rate (eGFR) measures your kidneys' ability to filter toxins and waste from your blood. It help's us determine if you have kidney disease, and if so, what stage. eGFR Calculator >eGFR(Required)* What is Your eGFR? My eGFR is < 45 ml/min My eGFR is 45-89 ml/min My eGFR is > 90 ml/min I don't know Diabetes is the leading cause of kidney disease. Determining your history of diabetes is very helpful in determining your risk.Diabetic(Required)* Are You Diabetic? Yes for >5 years and my blood sugar is uncontrolled Yes for <5 years and my blood sugar is well controlled - OR - I'm prediabetic No I don't know High blood pressure can constrict and narrow the blood vessels, which eventually damages and weakens them throughout the body, including in the kidneys.Hypertension(Required)*Do You Have High Blood Pressure / Hypertension? Yes, my blood pressure is >150/90 Yes, my blood pressure is 130-150/80-90 and I take medications No, I do not have elevated blood pressure I don't know Kidney disease and heart disease share two of the same main causes: diabetes and high blood pressure.Do You Have Heart Disease?(Required)* Do You Have Heart Disease? Yes, and I have symptoms of heart failure Yes, but I do not have symptoms of heart failure No, I don't have heart disease I don't know Acute kidney failure, also called acute renal failure or acute kidney injury, occurs when your kidneys suddenly become unable to filter waste products from your blood.Have You Had Acute Kidney Failure?(Required)* Have You Had Acute Kidney Failure? Yes, I've had acute kidney failure No, I have not I don't know Serum creatinine is a blood test that can tell us how your kidneys are functioning. Do You Know Your Creatinine Levels?(Required)* Do You Know Your Creatinine Levels? Yes, my creatinine level is elevated Yes, my creatinine normal I don't know When used improperly, pain medicines can cause problems in the body, including the kidneys. According to the National Kidney Foundation, as many as 3 percent to 5 percent of new cases of chronic kidney failure each year may be caused by the overuse of these painkillers. Do You Take Over the Counter (OTC) Pain Medications?(Required)* Do You Take Over the Counter (OTC) Pain Medications? Yes, I take OTC pain meds on a weekly basis Yes, I take OTC pain meds occasionally No, I don't use OTC pain meds Having blood or protein show up in a urine lab test may be a sign that your kidneys have been damaged.Have You Ever Had Blood or Protein in Your Urine?(Required)* Have You Ever Had Blood or Protein in Your Urine? Yes, I've had blood or protien in my urine No, I have not I don't know Polycystic kidney disease (PKD) is an inherited disorder in which clusters of cysts develop primarily within your kidneys.Do You Have Polycystic Kidney Disease?(Required)* Do You Have Polycystic Kidney Disease? Yes, any my kidney's are enlarged Yes, but my kidney's are normal size No, I don't I don't know Kidney stones, also called nephrolithiasis, are small, hard deposit that forms in the kidneys. They are often very painful when passed.Have You Had Kidney Stones?(Required)* Have You Had Kidney Stones? Yes, I've had kidney stones No, I haven't I don't know A high risk of kidney disease is associated with heavy drinkers and smokers - especially those who do both.Do You Smoke or Drink Alcohol Frequently?(Required)* Do You Smoke or Drink Alcohol Frequently? Yes, I smoke or drink alcohol frequently No, I don't Creatine supplements may be associated with a higher risk for kidney dysfunction and disease.Do You Currently Take Creatine Supplements?(Required)* Do You Currently Take Creatine Supplements? Yes, I take them No, I don't People with chronic kidney disease can't remove phosphorus from their blood very well. Elevated levels can be seen with kidney disease.Do You Have Elevated Phosphorus Levels?(Required)* Do You Have Elevated Phosphorus Levels? Yes, my phosphorus levels are elevated No, my phosphorus levels are normal I don't know People with chronic kidney disease can't remove potassium from their blood very well. Elevated levels can be seen with kidney disease.Do You Have Elevated Potassium Levels?(Required)* Do You Have Elevated Potassium Levels? Yes, my potassium levels are elevated No, my potassium levels are normal I don't know Kidney disease can be associated with low calcium levels and this can cause bone disease.Do You Have Low Calcium Levels?(Required)* Do You Have Low Calcium Levels? Yes, my calcium levels are low No, my calcium levels are normal I don't know Kidney disease leads to an increase in the production of parathyroid hormone and elevated levels can cause bone disease. Do You Have Elevated Parathyroid Hormone Levels Levels?(Required)* Do You Have Elevated Parathyroid Hormone Levels Levels? Yes, my parathyroid hormone levels are elevated No, my parathyroid hormone levels are normal I don't know You may be at risk for kidney disease if close relatives (parent, grandparent or sibling) have a history of kidney disease.Do you have family history of kidney disease?(Required)* Do You Have a Family History of Kidney Disease? Yes, my parent, grandparent or sibling have a history of kidney disease and required dialysis Yes, my parent, grandparent or sibling have a history kidney disease but DID NOT require dialysis No, I have no family history of kidney disease I don't know * Required
