Gut Health Assessement
The following quiz will assess symptoms you may or may not have that are related to gut health. Mark which symptoms apply to you.
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Quiz Questions
1.
I have an autoimmune condition.
A.
Yes
B.
No
2.
I have gas.
A.
Yes
B.
No
3.
I have food sensitivities.
A.
Yes
B.
No
4.
I have irritable bowel syndrome.
A.
Yes
B.
No
5.
I have fewer than one bowel movement per day.
A.
Yes
B.
No
6.
I have hard-to-pass stools.
A.
Yes
B.
No
7.
I have diarrhea.
A.
Yes
B.
No
8.
I have constipation.
A.
Yes
B.
No
9.
I have stomach cramps.
A.
Yes
B.
No
10.
I tend to have undigested food in my stools.
A.
Yes
B.
No
11.
I need to take laxatives to have bowel movements.
A.
Yes
B.
No
12.
I have taken antacids (Pepto-Bismol, Maalox, Tums, etc) more than once in the past year.
A.
Yes
B.
No
13.
I have taken acid-blocking medications like Pepcid, famotidine, Prevacid, omeprazole, Zantac, Nexium, or Prilosec in the last five years.
A.
Yes
B.
No
14.
I have taken antibiotics for more than two weeks.
A.
Yes
B.
No
15.
I have taken more than three courses of antibiotics in the last ten years before my symptoms started.
A.
Yes
B.
No
16.
I have taken the birth control pill.
A.
Yes
B.
No
17.
I take over-the-counter pain relievers like ibuprofen, Aleve, Advil, or naproxen on a regular basis.
A.
Yes
B.
No
18.
I have skin rashes, acne, or hives.
A.
Yes
B.
No
19.
I have seasonal or environmental allergies.
A.
Yes
B.
No
20.
I have a swollen, patchy, or coated tongue.
A.
Yes
B.
No
21.
I feel bloated after eating or experience gas or belching.
A.
Yes
B.
No
22.
I have anal itching.
A.
Yes
B.
No
23.
I feel nausea after eating.
A.
Yes
B.
No
24.
I have foul-smelling stools.
A.
Yes
B.
No
25.
I have cravings for sweets, alcohol, or carbs.
A.
Yes
B.
No
26.
I drink coffee or alcohol on a daily basis.
A.
Yes
B.
No
27.
I frequently eat out.
A.
Yes
B.
No
28.
I like to eat sushi and meat that is undercooked.
A.
Yes
B.
No
Quiz Outcomes
1.
Low Risk
2.
Intermediate Risk
3.
High Risk
