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?*