AAKP Health Alert: Coronavirus Updates Thank you for signing up to receive AAKP Health Alert Updates regarding the Coronavirus Outbreak Please complete the information below. Alerts will be emailed out as they become available. OK Question Title * 1. Please fill out your contact information to receive email updates. Name * Address * Address 2 City/Town * State/Province * ZIP/Postal Code * Country Email Address * Phone Number OK Question Title * 2. Please let us know if you are a: Kidney Patient (CKD/non-dialysis; Dialysis; Transplant Recipient) Family Member/Friend of a Kidney Patient Living Donor Healthcare Professional/Physician Institution (ex. Medical Practice, Dialysis Facility, Transplant Center, University) General Public Other (please specify) OK Question Title * 3. Are you an AAKP Member? Yes No (visit www.aakp.org/join) Unsure OK Question Title * 4. As a kidney patient or family member/caregiver of a kidney patient, what is your main concern about Coronavirus (COVID-19)? OK DONE