VU Kidney Health Surveys

Non-Commercial Use Request Form

Vanderbilt Kidney Health Surveys, developed by Kerri Cavanaugh, MD, MHS, and colleagues at Vanderbilt University Medical Center, are validated patient-reported measures for assessing perspectives of individuals at risk for or living with kidney disease. Designed for academic and non-profit researchers, these surveys evaluate knowledge, self-efficacy, and self-care behaviors to optimize kidney health.

Available Surveys:

  • Perceived Kidney/Dialysis Self-Management Scale (PKDSMS): A validated measure of CKD patient self-efficacy, adapted to enhance interventions for self-care.
  • Kidney Knowledge Survey (KiKS): A reliable tool to assess knowledge of kidney disease terms, procedures, and risk factors.
  • Perceived Kidney Disease Knowledge Survey (PiKS): Evaluates perceived kidney knowledge aligned with patient preferences and self-efficacy.
  • Kidney Disease Behavior Inventory (KDBI): Tracks self-care behaviors for CKD and dialysis, including monitoring, nutrition, and medication.
  • Acute Kidney Injury Knowledge Survey (AKI-KS): A 15-item questionnaire assessing objective and perceived AKI knowledge, causes, risk factors, and patient experience.

Benefits: These surveys empower researchers to gain insights into patient perspectives, driving advancements in kidney health interventions and outcomes. Their validated, reliable design supports rigorous academic studies and clinical practice improvements.

Licensing Process: Free for non-commercial research by individuals with a full-time academic appointment at non-profit institutions, these surveys require an institutional email (e.g., user@institution.edu) for approval. When adding to cart:

  • Provide contact information and institutional address via checkout (no payment required).
  • Await application approval (3–5 business days).
  • Receive access instructions via email.

For translated versions, visit our translation request page. For commercial use, support, or more information, contact us.

Price
FREE
Terms and Conditions
Copyrighted material is available free of charge to those individuals who have a full-time academic appointment at an academic or other non-profit research institution for non-commercial purposes. You may use and make copies of the copyrighted material for your research. You may not use the copyrighted material for commercial purposes without the written consent of the provider. Commercial purposes include sale, lease, license, or other transfer of the copyrighted material to a for-profit organization. Commercial purposes shall also include uses of the copyrighted material or modifications by any organization to perform contract research, to produce or manufacture products for general sale, or to conduct research activities that result in any sale, lease, license, or transfer of the copyrighted material or modifications to a for-profit organization. If you are interested in using the survey for commercial purposes, please contact us.
Terms and Conditions
Copyrighted material is available free of charge to those individuals who have a full-time academic appointment at an academic or other non-profit research institution for non-commercial purposes. You may use and make copies of the copyrighted material for your research. You may not use the copyrighted material for commercial purposes without the written consent from the provider. Commercial purposes include sale, lease, license, or other transfer of the copyrighted material to a for-profit organization. Commercial purposes shall also include uses of the copyrighted material or modifications by any organization, to perform contract research, to produce or manufacture products for general sale, or to conduct research activities that result in any sale, lease, license, or transfer of the copyrighted material or modifications to a for-profit organization. If you are interested in using the survey for commercial purposes, please contact Kerri Cavanaugh, kerri.cavanaugh@Vanderbilt.Edu or cttc@vanderbilt.edu
Contact Information
Please provide the following information:
Name
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Organization
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Role
Student
You've indicated that you are a student.  Please provide your degree as well as the contact information for your PI.
Please provide your degree (BA, MA, PHD, etc.) and Major.
PI Name
Please provide your P.I.'s full name.
Request Details
Please provide the following details regarding your inquiry so that we may better assist you.
Please provide a detailed description of the intended product use.
Pleas state the expected duration of the project for which survey will be used
Plate describe the purpose of the project e.g. Title of the research study, duration of study, number of study participants involved, funding source, and geographic location of the study, etc.
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You must choose "I accept the terms in the license agreement" for your order to be processed.