Doctor discussion guide

Answer these questions to help you and your doctor get a better understanding of your acid reflux disease symptoms. When you’re finished, please take the quiz to your appointment and discuss it with your doctor.

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You can use the guide in 2 ways:

  1. Fill out the questions online and print out.
    Note: You can print the guide without answering the questions.
  2. Download the guide and fill out manually. GO


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