Meal Plans Questionnaire

Personalized

First Name*
Last name*
Email address*
What city and country do you live in?*
Which type of IBS do you have?*
Do you have reflux (GERD) ?*
Are you vegetarian?*
Do you eat red meat?*
Do you eat seafood?*
Do you eat poultry (chicken, turkey etc.)?*
Do you eat eggs?*
Do you eat permitted dairy (lactose-free milk, lactose-free yogurt, mature cheese, cottage cheese, feta, mozzarella and ricotta)?*
Do you eat nuts and seeds*
Do you take any medications?*
Do you take any supplements?*
Add here any other information you think I should know.