Skip to main content
. Author manuscript; available in PMC: 2013 Jun 1.
Published in final edited form as: Am J Transplant. 2012 May 8;12(6):1486–1495. doi: 10.1111/j.1600-6143.2012.04080.x

Table 1.

Sample questions from General Demographic and Medical questionnaire.

Are you currently working?
Are you currently in school?
What is your highest level of education?
How do you pay for your medications?
What was your diagnosis?
What type of transplant did you have?
Has your doctor told you that you need another transplant?
Are you currently on the transplant waiting list?
Have you had a kidney transplant?
What medicines are you currently taking?
Have you had any side effects from these medications?
How often do you forget to take your medication?
In the past 3 years, how many admissions to the hospital have you had?
When was the last time you had a liver biopsy?
What were the liver biopsy results?
Have you had rejection in the past 3 years?
What were the results of your latest liver blood tests?
In the past three years, have you had a biliary stent placed?
In the past three years, have you had any surgery on your abdomen?
In the past three years, have you had any bloody vomiting?