Know Your Kidney Risk Before It’s Too Late

PART A – YOUR HEALTH

• Diabetes

  Yes No

• Blood Pressure

  Yes No

• Heart Disease

  Yes No

• Known Kidney Problem

  Yes No

PART B – FAMILY & LIFESTYLE

• Family History

  Yes No

• Age > 60

  Yes No

• Pain Killer Use

  Yes No

• Tobacco

  Yes No

• Weight

  Yes No

PART C – CURRENT SYMPTOMS

• Swelling

  Yes No

• Urine Problem

  Yes No

YOUR SCORE

Total Score out of 11