IC, Gastroparesis & Gastritis Question Title * 1. Have you been diagnosed with IC? Yes No Question Title * 2. Do you struggle with chronic stomach symptoms and/or pain? Yes No Question Title * 3. What stomach symptoms do you struggle with? Nausea Abdominal Bloating Abdominal Pain Indigestion Gas/Belching Gas/Farting Burning in Stomach Between Meals or At Night GERD/Esophageal Reflux Question Title * 4. How frequently do you feel stomach distress and discomfort? Daily 1 to 4 times a week 1 to 4 times a month 1 to 4 times a year Question Title * 5. Have you sought medical care for your stomach symptoms? Yes No Question Title * 6. If yes, with what kind of doctor? Primary Care Gastroenterologist Family Clinic None - I can't afford medical care Question Title * 7. Have you been diagnosed with gastritis? Yes No Question Title * 8. Have you been diagnosed with gastroparesis (delayed stomach emptying)? Yes No Question Title * 9. Have you been also diagnosed with Irritable Bowel Syndrome? Yes No Question Title * 10. Have you been diagnosed with esophageal reflux disease (aka GERD)? Yes No Question Title * 11. Have you been diagnosed with stomach ulcers? Yes No Question Title * 12. If you have IC, IBS and stomach issues, what order did your symptoms first appear? Bladder - Bowel - Stomach Bladder - Stomach - Bowel Bowel - Stomach - Bladder Bowel - Bladder - Stomach Stomach - Bowel - Bladder Stomach - Bladder - Bowel Don't know / Not sure Question Title * 13. If you just have IC and stomach Issues, which symptoms developed first? My bladder symptoms appeared first My stomach symptoms appeared first Question Title * 14. Which do you struggle with the most? IC/Bladder Symptoms IBS Symptoms Stomach Symptoms Question Title * 15. How old are you? 19 or under 20-29 30-39 40-49 50-59 60-69 70 or over Done