Medium

Available on

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Acid Reflux/Heartburn Symptom and Risk Factor Questionnaire Mobile App

Acid Reflux Heartburn Symptom and Risk Factor Questionnaire mobile application to ask questions on the current condition for acid reflux. The app will want to know the acid reflux history, problems, and symptoms. This is a great app if you are doing gastroesophageal reflux disease, gastroesophageal reflux disease gerd, gerd symptoms, erosive esophagitis, stomach acid, reflux esophagitis, antireflux surgery, and acid reflux disease.

  • Lendlease
  • The Cooperative
  • PG&E
  • Red Bull
  • Mirvac

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Take a peek inside the Acid Reflux/Heartburn Symptom and Risk Factor Questionnaire Mobile App

Included Features

Our App Builder gives you the power to easily add and remove the ones you want. {{controller.show_all ? 'See included features.' : 'See more features.'}}

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Included Fields

Customize to add, remove, or edit any of the fields below.

  • Ico textbox

    SaLIMS no:

  • Ico integer

    Age:

  • Ico textbox

    Gender:

  • Ico textbox

    Ethnicity:

  • Ico textbox

    Current BMI:

  • Ico decimal

    Weight(kg)

  • Ico decimal

    Height(cm)

  • Ico textbox

    Current Waist/Hip ratio:

  • Ico decimal

    Waist(cm)

  • Ico decimal

    Hip(cm)

  • Ico dropdown

    Highest education level:

  • Ico textbox

    Endoscopic findings:

  • Ico textbox

    Biopsy site

  • Ico textbox

    Result

  • Ico textbox

    Biopsy site

  • Ico textbox

    Result

  • Ico textbox

    Biopsy site

  • Ico textbox

    Result

  • Ico dropdown

    H.

  • Ico dropdown

    symptoms?

  • Ico dropdown

    b) How long ago did your symptoms first begin?

  • Ico dropdown

    Currently

  • Ico textbox

    Duration (State in months or years how long your symptoms have been this frequent)

  • Ico dropdown

    Previously

  • Ico textbox

    Duration (State in months or years how long your symptoms have been this frequent)

  • Ico dropdown

    Currently

  • Ico textbox

    Duration (State in months or years how long your symptoms have been this frequent)

  • Ico dropdown

    Previously

  • ...and More!

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