Table 3 The questions and answer options in the dementia survey

• Questions

 Please indicate the presence or absence of dementia in the patient.

 Please provide as much information as you can about the conditions of the patient during dialysis treatment or consultation.

 (Note that the primary doctor should provide the answer.)

• Answer options

 Without dementia

 Without dementia (requiring no care)

 Without dementia (requiring care)

 Unspecified