How are you taking CREON?

How many CREON capsules does your doctor tell you to take with every:

In the past 2 weeks, how often have you:

Almost Always

Often

Occasionally

Never

Experienced greasy stools?

Experienced loose stools?

Experienced frequent diarrhea?

Passed excessive gas?

Experienced bloating?

Experienced stomach pain?

Experienced any of the above symptoms after you ate?

In the past 2 weeks, how much were you concerned by:

Almost Always

Often

Occasionally

Never

Eating greasy or high-fat foods?

Taking CREON in front of others or in public?

Using a public bathroom?

Having EPI symptoms due to missing a CREON dose?

Having to use the toilet for a long time?

In the past 2 weeks, how frequently did you:

Almost Always

Often

Occasionally

Never

Forget to bring your CREON when dining out?

Skip meals?

Forget to take your CREON?

Have a poor appetite because of EPI symptoms?

Miss out on usual daily activities because of EPI symptoms?

In the past 2 weeks:

More often than I'd like As often as I'd like Less often than I'd like

My bowel movements have occurred...

Finished!

1 How are you taking CREON?

How many CREON capsules does your doctor tell you to take with every:

2 In the past 2 weeks, how often have you:

Almost Always Often Occasionally Never

Experienced greasy stools?

Experienced loose stools?

Experienced frequent diarrhea?

Passed excessive gas?

Experienced bloating?

Experienced stomach pain?

Experienced any of the above symptoms after you ate?

3 In the past 2 weeks, how much were you concerned by:

Almost Always Often Occasionally Never

Eating greasy or high-fat foods?

Taking medication in front of others or in public?

Using a public bathroom?

Having EPI symptoms due to missing a CREON dose?

Having to use the toilet for a long time?

4 In the past 2 weeks, how frequently did you:

Almost Always Often Occasionally Never

Forget to bring your CREON when dining out?

Skip meals?

Forget to take your CREON?

Have a poor appetite because of EPI symptoms?

Miss out on usual daily activities because of EPI symptoms?

5 In the past 2 weeks:

More often than I'd like As often as I'd like Less often than I'd like

My bowel movements have occurred...

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