Welcome to the Florida Hospital Transplant Institute kidney transplant program online health history questionnaire for people interested in pursuing living kidney donation.
Please answer all questions truthfully and completely, as the information you provide here will be reviewed by our transplant team to detect any medical conditions that may affect your eligibility to donate a kidney.
This questionnaire is confidential, and answers will not be shared with the potential organ recipients. Only Transplant Institute health professionals directly involved with our living donor kidney program will have access to this information.
This survey will take approximately 15-20 minutes to complete. You must complete the survey in a single session, and we recommend you use a desktop or laptop computer for best results.
Thank you for your interest in pursuing living kidney donation.