Clinical Research
Copyright ©2008 The WJG Press and Baishideng.
World J Gastroenterol. Mar 7, 2008; 14(9): 1358-1364
Published online Mar 7, 2008. doi: 10.3748/wjg.14.1358
Table 1 Questionnaire used in this study
Please circle the appropriate responses for each of the following symptoms during a 1-mo period
(1) Do you suffer from the symptom of dysphagia?
1: yes2: no
(a: usually; b: sometimes)
(c: throat; d: chest; e: stomach)
(2) Do you suffer from the symptom of heartburn?
1: yes2: no
(a: usually; b: sometimes)
(3) Do you suffer from the symptom of abdominal pain?
1: yes2: no
(a: usually; b: sometimes)
(f: before eating; g: after eating; h: no relation)