Complete Patient Care evaluation

Not important	Slightly Important	Moderately important	Very important	Extremely Important
Not importantDo your bowel symptoms bother you Not important	Slightly ImportantDo your bowel symptoms bother you Slightly Important	Moderately importantDo your bowel symptoms bother you Moderately important	Very importantDo your bowel symptoms bother you Very important	Extremely ImportantDo your bowel symptoms bother you Extremely Important

Not keen	Slightly keen	Keen	Fairly keen	Very keen
Not keenDo your bowel symptoms bother you Not keen	Slightly keenDo your bowel symptoms bother you Slightly keen	KeenDo your bowel symptoms bother you Keen	Fairly keenDo your bowel symptoms bother you Fairly keen	Very keenDo your bowel symptoms bother you Very keen

is the How

Do your bowel symptoms bother you

Not at all	A little bit	Some	Quite a bit	A lot
Not at allDo your bowel symptoms bother you Not at all	A little bitDo your bowel symptoms bother you A little bit	SomeDo your bowel symptoms bother you Some	Quite a bitDo your bowel symptoms bother you Quite a bit	A lotDo your bowel symptoms bother you A lot

0	1	2	3	4	5	6
0Patient Goal 0	1Patient Goal 1	2Patient Goal 2	3Patient Goal 3	4Patient Goal 4	5Patient Goal 5	6Patient Goal 6

0	1	2	3	4	5	6
0Patient Goal 0	1Patient Goal 1	2Patient Goal 2	3Patient Goal 3	4Patient Goal 4	5Patient Goal 5	6Patient Goal 6

Extremely dissatisfied	Dissatisfied	Neutral	Satisfied	Extremely satisfied
Extremely dissatisfiedItem #1 Extremely dissatisfied	DissatisfiedItem #1 Dissatisfied	NeutralItem #1 Neutral	SatisfiedItem #1 Satisfied	Extremely satisfiedItem #1 Extremely satisfied

Any other comments

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The information provided on this webpage may be subject to different medical and regulatory requirements in different countries. This information should not be used for diagnosing or treating a health problem or disease. It is not medical advice and is not intended to substitute for the advice of your personal physician or other healthcare provider. Before use of any of our products, always consult the ‘Instructions for Use’ document delivered with the products. The Company cannot answer unsolicited emails requesting personal medical advice; please consult your healthcare provider.

Complete Patient Care evaluation

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Symptom

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