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. 2006 Apr 28;12(16):2556–2562. doi: 10.3748/wjg.v12.i16.2556

Table 1.

Main items included in the questionnaire

Anagraphic data
Blood pressur, heart rate
Occupation
Physical activity1
Disease duration
Main symptoms1
Admission to hospital (d)1
Missed work days1
Clinical relapse1
Drugs comsumption12
Igienic-dietary habit1
Personal opinions on therapy2
Reasons of Good opinions on therapy2
Side effects2
1

During past 12 mo;

2

Evaluation after treatment.