Question 1 of 15
Have you ever had problems with constipation in the past?
Question 2 of 15
Do you keep well hydrated?
Question 3 of 15
Have you had a recent change to your diet?
Question 4 of 15
Does your abdomen feel bloated?
Question 5 of 15
Do you have any abdominal pain?
Question 6 of 15
Have you had any vomiting?
Question 7 of 15
Have you noticed any blood in your bowel movements?
Question 8 of 15
Do you have any unexplained weight loss?
Question 9 of 15
Have you had any previous abdominal surgery?
Question 10 of 15
Do you have any family history of bowel problems (including bowel cancer)?
Question 11 of 15
Do you have any other health conditions?
Question 12 of 15
Are you currently taking any medications?
Question 13 of 15
Do you have any allergies?
Question 14 of 15
Is there any further information you would like to provide?
Question 15 of 15
Would you like to have a video or telephone consultation?