1 of 3

In the past 2 weeks, I have had:

Almost Always Often Occasionally Never


Stomach pain

Excessive gas

Greasy stools

Loose stools

Frequent diarrhea

Unexplained weight loss

2 of 3

In the past 2 weeks, I have:

Almost Always Often Occasionally Never

Had to use the toilet for a long time

Eaten greasy or high-fat foods

Skipped meals

Had a poor appetite because of GI symptoms

3 of 3

In the past 2 weeks:

My bowel movements have occurred…

3 of 3

You're done, nice job!

Click the button below to download your quiz results. You can print this out and use it when you talk to your doctor.

When you have EPI, your body is missing the enzymes it needs to digest food, which can lead to GI symptoms such as diarrhea, bloating, and stomach pain.


Learn about EPI symptoms


The first step in diagnosisng EPI is talking with your doctor about your symptoms. then your doctor may order a series of tests.


Learn about EPI diagnosis


Please provide appropriate value in each field's default value property as per Analytics Tech Specs

Form Name:

Form Category:

Account Management, Contact, Interactions, Quiz, Registration, Services


Form Sub-Category:

Password Resets, Login, Profile, Representative, Contact Us, Polls, Social Share, Doctor Discussion Guide, Dosing Guide, Symptom Checker, Knowledge Assessment, Event, More Info, Sign Up, Saving Card, Benefit Verification, Benefit Enrollments, Medical Exception, Injection Form, Share a Story

Form MVA Name:

Form MVA Type:

Download, Form, Link, Share, Tool, Video

Form MVA Tier:

Form MVA Category:

Savings Card, Insurance, Symptom Journal, Test Score Tracker, Condition Information, Doctor Discussion Guide, Dosing Information, Enrollment Form, Flashcard, Medical Exception, Patient Counseling Guide, Savings Card, Symptom Journal, Doctor Discussion Guide, Doctor Search, Dosage Calculator, Enroll, Med Reminders, Quick Poll, Resource Request, Symptom Quiz, UGC Submission, Contact Rep, Savings Card, Social Share, App Store, More Info, Patient Resources, Share Information, Share Results, Submit a Story, Assessment Tool, Benefits Verification, Carousel, Initiation, Myth versus Fact, Workaround Quiz, Formulary Tool, Image Expand, Medical Exception, Q And A, Slider, Administration Instructions, Condition Information, Insurance, Inventory, Mechanism of Action, Patient Story, Product Overview, Program Overview, Injection Training, Other


Form PII Field Names for Masking:

Form MVA Initialize QA:

Form Analytics Payload: