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1. Which home modalities do you offer? Check all that apply.

   CAPD CCPD/APD Conventional home hemo Daily home hemo Nocturnal home hemo Staff-assisted In-center nocturnal
2. Did you develop an original home dialysis training manual for staff and/or patients?

   Yes, for staff and patients Yes, for staff only Yes, for patients only No manuals were developed
3. Comments

Type the letters and numbers you see in this image in the box below using only CAPITAL letters and the numbers 1-9 to complete the image verification. *