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Hiatal Hernia Quiz

Please select as many of the boxes for each category that apply to you and then read the results page to find out more about your hiatal hernia. You will be emailed your final tallied results at the end of the quiz.

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Question 1 of 3

Category 1

Please tick as many as are relevant to you from the options below and keep a tally as you work through the quiz.

* Examples of Gastric Conditions:

GERD/LPR, Crohns, IBD, IBS, diverticulitis, esophagitis, gastritis, stomach ulcers, gastric infections, etc.

 

(Select all that apply)
A

I experienced a past trauma to my chest when I got the “wind knocked out of me”.

B

I have had one or more full-term pregnancies.

C

Hiatal hernias run in my family.

D

I am over 50 years old.

E

I am female.

F

I am overweight.

G

I have been diagnosed with some type of gastric condition (* see examples in text above)

Question 2 of 3

Category 2 (again please make a note of how many you select)

(Select all that apply)
A

I experience indigestion.

B

I experience heart burn.

C

I experience frequent belching.

D

I experience nausea.

E

I experience regurgitation.

F

I experience vomiting even though I am not sick.

G

I feel the need to clear my throat all of the time.

H

I experience a sore throat.

I

I get a hoarse voice.

J

I have pain under my ribs.

K

I get pain in my chest but my heart checks out healthy.

L

I get unexplained pain in my back, shoulders, and/or arms.

M

I experience unexplained anxiety.

N

I have heart palpitations but my heart checks out healthy.

O

I have difficulty breathing.

P

I experience what feels like a lump in my throat.

Q

I get panic attacks.

R

I have unexplained fainting.

S

I have unexplained neck and head pain.

T

I get a sensation of feeling full even when I eat small amounts of food.

U

I experience esophageal spasms near my sternum.

V

I experience a persistent cough.

Question 3 of 3

Category 3 (again please keep a note of how many you select)

(Select all that apply)
A

I experience regular bloating.

B

I am regularly constipated and have to strain in order to pass a bowel movement.

C

I wear tight or restrictive clothing around my middle.

D

I commonly slouch.

E

I spend a lot of time in a seated position.

F

I having frequent sneezing due to allergies.

G

I vomit frequently due to an eating disorder presently or in the past.

H

I commonly binge eat or over-eat presently or in the past.

I

I perform moderate to heavy lifting on a regular basis.

J

I pull in my abs frequently to appear thin.

K

I am overweight.

L

I experience a persistent cough.

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