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Crohns Disease Survey
Crohns Disease Survey
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1.
Do you have Crohns disease?
(Required.)
Yes
No
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2.
How much has Crohns disease affected your life?
(Required.)
Minimally
Moderately
Significantly
I do not have Crohns disease
Describe how Crohns has affected your life
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3.
Would you use an invisible and comfortable feeding tube for three months a year to reduce Crohns symptoms significantly?
(Required.)
Yes
No
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4.
How do you treat your Crohns?
(Required.)
Steroids
Liquid diet
Immunosuppressants
Biological medicines
Surgery
Enteral feeding
No treatment
Other (please specify)
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5.
How satisfied are you with your current Crohns treatments?
(Required.)
Not Satisfied
Moderately Satisfied
Very Satisfied
I do not have Crohns Disease
Other (please specify)
Current Progress,
0 of 5 answered