Scooby Health GI & Digestive Lifestyle Questionnaire Logo

  • Gastrointestinal & Digestive Lifestyle Questionnaire

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  • Part 1

    This section is aimed at assessing lifestyle and gastrointestinal health. The answers can help identify potential issues of concern and target recommendations accordingly.

  • Activity and Lifestyle

  • Part 2

    This part will help identify which parts of the digestive tract are causing the most problems or symptoms. Please enter in the number that best describes the severity of the symptoms listed below. If you do not know the answer then leave it blank.
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  • Score 0-4: Low Priority, Score 5-9: Moderate Priority, Score 10 or above: High Priority

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  • Score 0-6: Low Priority, Score 6-10: Moderate Priority, Score 10 or above: High Priority

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  • Score 0-3:  Low Priority, Score 4-6:  Moderate Priority, Score 7 or above:  High Priority

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  • Score 0-4:  Low Priority, Score 5-8:  Moderate Priority, Score 9 or above: High Priority

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  • Score 0-2:  Low priority, Score 5-9:  Moderate Priority, Score 10 or above:  High Priority 

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  • Score 1-5:  Low priority, Score 6-10:  Mild Priority, Score 7-19:  Moderate Priority, Score 20 or above:  High Priority

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  • Score 0-4:  Low priority, Score 5-9:  Moderate Priority, Score 10 or above:  High Priority

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  • Score 0-6:  Low Priority, Score 6-10:  Moderate Priority, Score 10 or above:  High Priority 

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  • Score 1-5:  Low Priority, Score 6-10:  Mild Priority, Score 7-19: Moderate Priority, Score 20 or above:  High Priority

     

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  • Score 0-6:  Low Priority, Score 6-10:  Moderate Priority, Score 10 or above:  High Priority

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  • Score 0-5:  Low Priority, Score 6-9:  Moderate Priority, Score 10 or above:  High Priority

  • Should be Empty: