Have you experienced changes in your bowel habits (such as constipation, diarrhea, or alternating between the two) in the past six months? Yes, frequently Occasionally Rarely Never None Do you experience abdominal pain or discomfort that is relieved by bowel movements? Yes, frequently Occasionally Rarely Never None Have you noticed an increase in bloating or gas, especially around the time of your menstrual cycle or menopause? Yes, frequently Occasionally Rarely Never None Do you experience any of the following symptoms: fatigue, sleep disturbances, or mood swings, particularly in relation to your digestive issues? Yes, all of them Yes, some of them Rarely Never None Have you been formally diagnosed with irritable bowel syndrome by a healthcare professional? Yes No, but I suspect I might have it No Not sure None Are you currently experiencing menopause or perimenopause symptoms (e.g., hot flashes, night sweats, and irregular periods? Yes, currently experiencing all menopause symptoms Yes, currently experiencing some perimenopausal symptoms No, but I have in the past No, not at all None Do you find that your IBS symptoms have worsened or changed with the onset of menopause and perimenopause? Yes, significantly worsened Somewhat worsened No change Not applicable None Have you discussed your digestive symptoms with your healthcare provider in the context of menopause? Yes, and received specific advice or treatment Yes, but did not receive specific advice or treatment No, but plan to discuss it No, and do not plan to discuss it None Have you made any lifestyle changes (e.g., diet, exercise, stress management) to manage your IBS or menopause symptoms? Yes, many changes Yes, some changes No, but considering it No None How would you rate the overall impact of your digestive symptoms on your quality of life? Significant impact Moderate impact Minor impact No impact None 1 out of 2 Name Email Phone Time's up
