How Well Is Your Crohn's Disease Being Managed?

Health Writer

Question 1 of 11

Over the past 2 weeks, have you experienced an increase in the frequency of your bowel movements?

AYes, the frequency of my bowel movements has increased substantially
BYes, the frequency has increased moderately
CYes, the frequency has increased slightly
DNo, the frequency has remained the same
AYes, the frequency of my bowel movements has increased substantially
BYes, the frequency has increased moderately
CYes, the frequency has increased slightly
DNo, the frequency has remained the same
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Question 2 of 11

Over the past 2 weeks, how often have your bowel movements been loose?

AAll of the time
BMost of the time
CSome of the time
DHardly any of the time
ENone of the time
AAll of the time
BMost of the time
CSome of the time
DHardly any of the time
ENone of the time
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Question 3 of 11

In the past 2 weeks, have you had more abdominal pain or cramping?

AYes, my pain and cramping are significantly more frequent, or present constantly
BYes, they're somewhat more frequent
CYes, they're slightly more frequent
DI've had no pain or cramping or I've experienced no change in their frequency
AYes, my pain and cramping are significantly more frequent, or present constantly
BYes, they're somewhat more frequent
CYes, they're slightly more frequent
DI've had no pain or cramping or I've experienced no change in their frequency
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Question 4 of 11

In the past 2 weeks, how often have you been unable to go to work, attend school, or keep social engagements because of bowel problems related to Crohn's disease?

AAll of the time
BMost of the time
CSome of the time
DHardly any of the time
ENone of the time
AAll of the time
BMost of the time
CSome of the time
DHardly any of the time
ENone of the time
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Question 5 of 11

Relatively speaking, how have your energy levels been over the past 2 weeks?

AMuch lower than normal and/or have no energy at all
BSomewhat lower than normal
CA little lower than normal
DHigher than normal or no change
AMuch lower than normal and/or have no energy at all
BSomewhat lower than normal
CA little lower than normal
DHigher than normal or no change
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Question 6 of 11

How much difficulty have you had performing leisure or sports activities over the past 2 weeks?

AExtreme difficulty and/or impossible
BA lot of difficulty
CSome difficulty
DMinimal difficulty
ENo difficulty
AExtreme difficulty and/or impossible
BA lot of difficulty
CSome difficulty
DMinimal difficulty
ENo difficulty
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Question 7 of 11

Have you experienced noticeable weight loss over the past 1-6 months, particularly if you have not been trying to lose weight? For example, if you weigh 150 pounds and you've lost 15 pounds, that's 10 percent weight loss - a significant amount in a short period.

AYes, I've lost more than 5 percent of my weight in 1 month or more than 10 percent in 6 months
BYes, I've lost less than or equal to 5 percent in 1 month or less than or equal to 10 percent in 6 months
CNo, my body weight has remained stable
AYes, I've lost more than 5 percent of my weight in 1 month or more than 10 percent in 6 months
BYes, I've lost less than or equal to 5 percent in 1 month or less than or equal to 10 percent in 6 months
CNo, my body weight has remained stable
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Question 8 of 11

Over the past 2 weeks, has the frequency of your rectal bleeding increased?

AYes, I've had significantly more frequent or constant rectal bleeding
BYes, it's somewhat more frequent
CYes, it's slightly more frequent
DNo change in frequency and/or rectal bleeding is absent
AYes, I've had significantly more frequent or constant rectal bleeding
BYes, it's somewhat more frequent
CYes, it's slightly more frequent
DNo change in frequency and/or rectal bleeding is absent
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Question 9 of 11

How frequently do you have worries or anxieties related to your Crohn's disease? These may include concerns about cancer, worries that symptoms will never improve, or anxiety about having a relapse.

AAll of the time
BMost of the time
CSome of the time
DHardly any of the time
ENone of the time
AAll of the time
BMost of the time
CSome of the time
DHardly any of the time
ENone of the time
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Question 10 of 11

Over the past 2 weeks, how frequently have you felt an urge to go to the bathroom even though your bowels are empty?

AAll of the time
BMost of the time
CSome of the time
DHardly any of the time
ENone of the time
AAll of the time
BMost of the time
CSome of the time
DHardly any of the time
ENone of the time
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Question 11 of 11

Do you have any extraintestinal (outside of the intestines) symptoms ? Common extraintestinal symptoms related to Crohn's include eye inflammation, arthritis, osteoporosis, skin rashes, inflammation of the liver or bile ducts, kidney stones, and gallstones.

AYes
BNo
AYes
BNo
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Complete all questions to see your results