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* 1. Have you been diagnosed with IC?

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* 2. Do you struggle with chronic stomach symptoms and/or pain?

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* 3. What stomach symptoms do you struggle with?

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* 4. How frequently do you feel stomach distress and discomfort?

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* 5. Have you sought medical care for your stomach symptoms?

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* 6. If yes, with what kind of doctor?

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* 7. Have you been diagnosed with gastritis?

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* 8. Have you been diagnosed with gastroparesis (delayed stomach emptying)?

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* 9. Have you been also diagnosed with Irritable Bowel Syndrome?

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* 10. Have you been diagnosed with esophageal reflux disease (aka GERD)?

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* 11. Have you been diagnosed with stomach ulcers?

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* 12. If you have IC, IBS and stomach issues, what order did your symptoms first appear?

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* 13. If you just have IC and stomach Issues, which symptoms developed first?

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* 14. Which do you struggle with the most?

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* 15. How old are you?

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