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Gut Health+ Questionnaire

Thank you for purchasing the Gut Health+ test. To complete your kit setup, we need a few details about your current health and recent history. This information is required to create your microbiome analysis profile and the analysis can’t be completed without it.

Please complete this as soon as possible. We can’t send your test kit until this questionnaire is submitted, which may delay your process.

This should take around 3-5 minutes. Please answer as accurately as you can.

Sex assigned at birth

Sex assigned at birth
A
B
C

What’s your current weight in kg?

What’s your height in cm?

Do you find it difficult to maintain a steady weight?

Do you find it difficult to maintain a steady weight?
A
B
C

Have you experienced any stomach pain in the last 7 days?

Have you experienced any stomach pain in the last 7 days?
A
B

Do you often feel tired or low energy?

Do you often feel tired or low energy?
A
B

In the past 7 days, how much did you usually strain while trying to have a bowel movement?

In the past 7 days, how much did you usually strain while trying to have a bowel movement?
A
B
C
D
E

In the past 7 days, how many days did you have loose or watery stools (diarrhoea)?

In the past 7 days, how many days did you have loose or watery stools (diarrhoea)?
A
B
C
D
E

In the past 7 days, how often did you feel like you needed to empty your bowels right away or else you would have an accident?

In the past 7 days, how often did you feel like you needed to empty your bowels right away or else you would have an accident?
A
B
C
D
E

In the past 7 days, how often did you feel like you couldn't eat (lost your appetite)?

In the past 7 days, how often did you feel like you couldn't eat (lost your appetite)?
A
B
C
D
E

In the past 7 days, did you have swelling in your belly?

In the past 7 days, did you have swelling in your belly?
A
B

In the past 7 days, how often did you feel bloated?

In the past 7 days, how often did you feel bloated?
A
B
C
D
E

In the past 7 days, did you feel you passed wind a normal amount?

In the past 7 days, did you feel you passed wind a normal amount?
A
B
C

In the past 7 days, have you noticed any blood in your stool?

In the past 7 days, have you noticed any blood in your stool?
A
B