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. 2014 Jul 2;14:116. doi: 10.1186/1471-230X-14-116

Table 1.

Twelve questions of the FSSG questionnaire

  Questions ARD/RS
1
Do you get heartburn?
RS
2
Does your stomach get bloated?
ARD
3
Does your stomach ever feel heavy after meal?
ARD
4
Do you sometimes subconsciously rub your chest with your hand?
RS
5
Do you ever feel sick after meals?
ARD
6
Do you get heartburn after meals?
RS
7
Do you have an unusual (e.g., burning) sensation in your throat?
RS
8
Do you feel full while eating meals?
ARD
9
Do some things get stuck when you swallow?
RS
10
Do you get bitter liquid (acid) coming up into your throat?
RS
11
Do you burp a lot?
ARD
12 Do you get heartburn if you bend over? RS

RS, reflux symptom; ARD, acid-related dysmotility symptom.