DoctorSaputo.com

1) How often are you bothered by IBS symptoms? *

Occasionally

Most of the time

It is always there

I don't have symptoms now

2) Do you take pharmaceutical drugs for your symptoms? *

Yes

No

3) Do you use supplements for IBS? *

Yes

No

4) Have you had a comprehensive digestive stool analysis done? *

Yes

No

I don't know

5) Have you had a colonoscopy? *

Yes

No

6) Have you been tested for leaky gut syndrome? *

Yes

No

I don't know

7) Do you have food allergies or intolerances? *

Yes

No

I don't know

8) Do you suffer from stress, anxiety, or depression? *

Yes

No

9) Did you travel outside the US prior to developing symptoms of IBS? *

Yes

No

10) Have you been on antibiotics recently? *

Yes

No

11) Are you gluten or lactose sensitive? *

Yes

No

I Don't know

12) Are you interested in lifestyle, dietary, and supplement recommendations to help your symptoms? *

Yes

No

Irritable Bowel Syndrome (IBS)

1) How often are you bothered by IBS symptoms? *

2) Do you take pharmaceutical drugs for your symptoms? *

3) Do you use supplements for IBS? *

4) Have you had a comprehensive digestive stool analysis done? *

5) Have you had a colonoscopy? *

6) Have you been tested for leaky gut syndrome? *

7) Do you have food allergies or intolerances? *

8) Do you suffer from stress, anxiety, or depression? *

9) Did you travel outside the US prior to developing symptoms of IBS? *

10) Have you been on antibiotics recently? *

11) Are you gluten or lactose sensitive? *

12) Are you interested in lifestyle, dietary, and supplement recommendations to help your symptoms? *

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