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Talk with your doctor or another member of your health care team to find out more about your anemia symptoms and treatment options. Our Doctor Conversation Guide can help you get the conversation started. To get your guide, just fill out our quick 7-question symptom survey.
Note: This survey is not a medical diagnosis. This guide is an awareness tool designed for you and your doctor to use together. The information you provide is anonymous and will not shared.

Question 1 of 7

How often do you feel tired and/or weak and don’t know why?
Not often
Sometimes
Often
How much does that bother you?
Not at all
A little
A lot

Question 2 of 7

How often do you notice your heart beating faster than normal?
Not often
Sometimes
Often
How much does that bother you?
Not at all
A little
A lot

Question 3 of 7

How often do you have trouble breathing or catching your breath?
Not often
Sometimes
Often
How much does that bother you?
Not at all
A little
A lot

Question 4 of 7

How often do you feel dizzy?
Not often
Sometimes
Often
How much does that bother you?
Not at all
A little
A lot

Question 5 of 7

How often do you have trouble concentrating?
Not often
Sometimes
Often
How much does that bother you?
Not at all
A little
A lot

Question 6 of 7

How often do you feel cold when others do not?
Not often
Sometimes
Often
How much does that bother you?
Not at all
A little
A lot

Question 7 of 7

Does your skin look unusually pale or dull?
Not often
Sometimes
Often
How much does that bother you?
Not at all
A little
A lot

Download your printable Doctor Conversation Guide. Remember to show it to your doctor!

Note: Some mobile device settings will not allow for the PDF to download properly.
If you are having trouble, please visit this page on a desktop computer for access to the PDF.

Learn more about anemia and chronic kidney disease and receive updates from the American Kidney Fund.

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