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ATLANTIS Self-Screening Quesionnaire

Date

ATLANTIS Self-Screening Questionnaire

The questionnaire below asks a few simple questions to find out whether you may be suitable to take part in the ATLANTIS trial.

Please answer each question and then press the 'SUBMIT' button.

Are you over the age of 18 ?

Has your GP diagnosed you with IBS?

Where do you live?

Have you tried or been offered dietary changes and first-line therapies such as antispasmodics [e.g. mebeverine], fibre supplements [e.g. fybogel], laxatives [e.g. bisacodyl] or anti-diarrhoeals [e.g. loperamide])?