Category |
Questions |
Response Type |
Daily Bowel Habits |
How many times did you have a bowel movement today? |
Numeric |
Was your stool consistency normal, hard, loose, or watery? |
Multiple Choice (Normal/Hard/Loose/Watery) |
Did you experience any urgency or discomfort when having a bowel movement today? |
Yes/No |
Did you notice any blood or mucus in your stool today? |
Yes/No |
Bowel-Related Symptoms |
Did you experience any abdominal pain or cramping today? |
Yes/No |
How severe was the abdominal pain or cramping (if present)? |
Numeric Scale (1-10) |
Did you feel bloated or have excessive gas today? |
Yes/No |
Did you experience any nausea or vomiting today? |
Yes/No |
Did you notice any changes in appetite today? |
Yes/No |
Did you experience any heartburn or acid reflux today? |
Yes/No |
Probiotic/Placebo Adherence |
Did you take your assigned probiotic/placebo as prescribed today? |
Yes/No |
How many pills did you take today (if less than prescribed)? |
Numeric |
Did you experience any side effects after taking the probiotic/placebo today? |
Yes/No |
Antibiotic-Related Monitoring |
Did you take your antibiotic dose(s) as prescribed today? |
Yes/No |
Did you experience any side effects from the antibiotic today? |
Yes/No |
How severe were the side effects from the antibiotic (if any)? |
Numeric Scale (1-10) |
General Well-Being |
How would you rate your overall energy level today? |
Numeric Scale (1-10) |
Did you feel tired or fatigued today? |
Yes/No |
Did you experience any other symptoms or changes in health today not related to bowel movements? |
Yes/No (With Description) |
Hospital Stay & Treatment Duration |
Did you stay in the hospital overnight today? |
Yes/No |
How many days have you been in the hospital since starting antibiotic treatment? |
Numeric |
Did you require any additional medical treatments for your symptoms today (e.g., IV fluids, pain relief)? |
Yes/No (With Description) |