TAKE THE SIBO ROOT CAUSE ASSESSMENT
takes about 1 minute to complete
Section 1: Core Digestive Symptoms
How often do you experience bloating after meals?
*
Please Select
Never (0)
Occasionally (1)
Often (2)
Always (3)
How often do you experience belching or gas within an hour after eating?
*
Please Select
Never (0)
Occasionally (1)
Often (2)
Always (3)
How often do you experience abdominal distention or visible bloating?
*
Please Select
Never (0)
Occasionally (1)
Often (2)
Always (3)
How often do you experience diarrhea, constipation, or alternating bowel habits?
*
Please Select
Never (0)
Occasionally (1)
Often (2)
Always (3)
How often do you experience heartburn or acid reflux?
*
Please Select
Never (0)
Occasionally (1)
Often (2)
Always (3)
How often do you experience excessive fullness or discomfort after meals?
*
Please Select
Never (0)
Occasionally (1)
Often (2)
Always (3)
Section 2: Additional / Systemic Symptoms
Do you struggle with brain fog or trouble focusing?
*
Please Select
Never (0)
Occasionally (1)
Often (2)
Always (3)
Do you struggle with fatigue after meals?
*
Please Select
Never (0)
Occasionally (1)
Often (2)
Always (3)
Do you struggle with food sensitivities?
*
Please Select
Never (0)
Occasionally (1)
Often (2)
Always (3)
Do you struggle with skin issues (rashes, acne, eczema)?
*
Please Select
Never (0)
Occasionally (1)
Often (2)
Always (3)
Do you struggle with joint pain or body aches?
*
Please Select
Never (0)
Occasionally (1)
Often (2)
Always (3)
Section 3: Possible Root Causes
History of food poisoning or gut infections?
*
Yes
No
History of concussion, whiplash, or head injury?
*
Yes
No
Diagnosed thyroid issues?
*
Yes
No
History of long-term antibiotic use?
*
Yes
No
High stress or anxiety?
*
Yes
No
Frequent use of acid-blocking medications?
*
Yes
No
Section 4: Where Should We Send Your Results?
Name
*
First Name
Last Name
Instagram Handle
*
Email
*
example@example.com
Phone
*
Please enter a valid phone number.
Format: (000) 000-0000.
Motility / Neurological root
Digestive impairment
Stress Related
Calculation
Hormonal / Thyroid
See My Results
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