CKD Risk Survey

Use this survey to find out if you are at risk for kidney disease.

One in three American adults are at risk for developing kidney disease and may not even know it. You might have no symptoms or they may not be noticeable. Please take this simple test to find out whether you’re at risk so that you can take action.

Numbers to the right of the arrow indicate risk score.

I am between 50 and 59 years of age → 2

I am between 60 and 69 years of age → 3

I am over 70 years old → 4

I am female → 1

I have or have had anemia → 1

I have high blood pressure → 1

I am a diabetic → 1

I have a history of heart attack or stroke → 1

I have a history of congestive heart failure or heart failure → 1

I have circulation disease in my legs → 1

I have protein in my urine → 1

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If you scored 4 or more points: You have a 1 in 5 chance of having chronic kidney disease. A simple blood and urine test can be checked to find out. Please speak to us or ask your primary care provider.

If you scored 0-3 points: You probably do not have kidney disease now, but at least once a year, you should re-take this survey and check with your primary care provider about the health of your kidneys.

Schedule an appointment: If you wish to schedule an initial appointment with a Rogosin physician in person or by Telemedicine, please call 212-746-6974 or use our appointment form here.

Return to the Rogosin Website

Based on SCORED, a simple prediction model for chronic kidney disease. Bang H. et al Arch Intern Med. 2007 Feb 26

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