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| Q 1. For at least six months, have you had continuous or repeated discomfort or pain in your lower abdomen? |
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| Q 2. Is this discomfort or pain relieved by a bowel movement? |
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| Q 3. Is this discomfort or pain associated with a change in the frequency of bowel movements, that is, having more or fewer bowel movements? |
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| Q 4. Is this discomfort or pain associated with a change in consistency of the stool, that is, softer or harder? |
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| Q 5. In the last three months, would you say that in at least one week in four, you have had fewer than three bowel movements a week? |
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| In the last three months, would you say that on at least one day in four, you have had any of the following? |
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| More than three bowel movements a day |
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| Hard or lumpy stools |
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| Loose or watery stools |
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| Straining during bowel movement |
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| Urgency, that is having to rush to the toilet for a bowel movement |
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| Feeling of incomplete bowel movement |
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| Passing mucus(white material during a bowel movement |
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| Abdominal fullness, bloating or swelling |
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| Q 6. Have you had any of the above symptoms for at least two days out of each week? |
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