Identify heart failure patients with chronic kidney disease (CKD) with this four-page screening tool. The questionnaire focuses on risk factors for CKD, educates patients on connections between kidney and heart health, and helps patients develop an action plan.

This tool can be used in either clinical or outreach settings. Use our screening event toolkit to plan your next cardiovascular-related screening event.

 

Resource Details

Reviewed on

January 13, 2026

Language(s)

  • English

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