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. 2020 Aug 1;12(8):e9505. doi: 10.7759/cureus.9505

Table 3. Gastroesophageal reflux disease health-related quality of life questionnaire.

 Questions No symptoms Symptoms noticeable, but not bothersome Symptoms noticeable and bothersome, but not every day Symptoms bothersome every day Symptoms affect daily activities Symptoms are incapacitating, unable to do daily activities
N (%) N (%) N (%) N (%) N (%) N (%)
How bad is your heartburn? 10 (5.0%) 29 (14.5%) 73 (36.5%) 54 (27.0%) 20 (10.0%) 14 (7.0%)
Heartburn when lying down? 39 (19.5%) 27 (13.5%) 49 (24.5%) 51 (25.5%) 25 (12.5%) 9 (4.5%)
Heartburn when standing up? 66 (33.0%) 38 (19.0%) 57 (28.5%) 22 (11.0%) 14 (7.0%) 3 (1.5%)
Heartburn after meals? 17 (8.5%) 25 (12.5%) 56 (28.0%) 51 (25.5%) 34 (17.0%) 17 (8.5%)
Does heartburn change your diet? 66 (33.0%) 24 (12.0%) 28 (14.0%) 36 (18.0%) 26 (13.0%) 20 (10.0%)
Does heartburn wake you from sleep? 59 (29.5%) 29 (14.5%) 39 (19.5%) 36 (18.0%) 13 (6.5%) 24 (12.0%)
Do you have difficulty swallowing? 134 (67.0%) 21 (10.5%) 23 (11.5%) 7 (3.5%) 10 (5.0%) 5 (2.5%)
Do you have pain with swallowing? 142 (71.0%) 25 (12.5%) 17 (8.5%) 4 (2.0%) 9 (4.5%) 3 (1.5%)
Do you have bloating or gassy feelings? 126 (63.0%) 20 (10.0%) 19 (9.5%) 19 (9.5%) 9 (4.5%) 7 (3.5%)