Irritable Bowel Syndrome with Constipation
  • What is your date of birth?*

  • What is your sex?*

  • Why are you interested in this study?

  • How long have the symptoms of IBS-C been present?

  • During the last 3 months, have you had at least 3 days each month of abdominal pain or discomfort that improved with a bowel movement?*

  • Are you currently taking any medications?*

  • If yes, what medications are you taking?

  • What is your email address?*

  • What is your phone number?*

  • What is your city and zip code?*

  • After reviewing your answers, we would like to have a 5-minute conversation with you regarding the study. What would be the best time to speak with you?*

That's all, folks!

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