IBS Survey - thank you for taking a time it is very much appreciated

 
1. Are you male or female?
2. How old are you?
3. Have you been diagnosed? With:
4. Which symptoms do you suffer from?
5. Please tick all food products which makes your symptoms worse:
6. Do your symptoms interfere with your social life (e.g. going out with friends)?
7. Do you work?
8. Have you ever felt disadvantages because of your symptoms (e.g. when applying for a job, making friends etc..)?
9. Which factors trigger your symptoms the most?
10. Would you be willing to be contacted again in order to confidentially discuss your condition?
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