Table 1.
Please circle the appropriate responses for each of the following symptoms during a 1-mo period | |
Do you suffer from the symptom of dysphagia? | |
1: yes | 2: no |
(a: usually; b: sometimes) | |
(c: throat; d: chest; e: stomach) | |
Do you suffer from the symptom of heartburn? | |
1: yes | 2: no |
(a: usually; b: sometimes) | |
Do you suffer from the symptom of abdominal pain? | |
1: yes | 2: no |
(a: usually; b: sometimes) | |
(f: before eating; g: after eating; h: no relation) |