Take this survey to see if you’re eligible.

Take this survey to see if you are eligible for the Oshi Health Virtual GI Care Program

Qualified

Which of the following Gastrointestinal (GI) conditions have you been diagnosed with by a licensed clinician?

Please select all that apply.

IBS Diarrhea (IBS-D)

IBS Constipation (IBS-C)

IBS Mixed (IBS-M)

Crohn's Disease

Ulcerative Colitis

Functional or chronic diarrhea

Functional or chronic constipation

Functional or chronic bloating

Functional or chronic abdominal distension

Functional or chronic dyspepsia

Functional or chronic indigestion

Small Intestinal Bacterial Overgrowth (SIBO)

Celiac Disease

Lactose Intolerance

Other food intolerances

Gastroesophageal Reflux Disease (GERD)

Barett's Esophagus

EoE

Other digestive health condition

I have not been diagnosed with any GI conditions, but I am experiencing symptoms and suspect I may have one of these conditions

I have not been diagnosed with any GI conditions, and I do not suspect I have one of these conditions

Other (please describe)

Which of the following GI symptoms have you been experiencing within the last month?

Please select all that apply.

Diarrhea

Constipation

Gas

Bloating

Abdominal pain

Rectal pain

Rectal bleeding / blood in stool

Bloating / distension

Dyspepsia (indigestion)

Nausea

Vomiting

Heartburn

Over the past 3 months, approximately how many days, per week, do you experience GI symptoms?

1 day per month or less

2-3 times per month

1-2 days per week

3-4 days per week

5-6 days per week

7 days a week

Do you currently use a smartphone or tablet capable of downloading apps from the Apple iOS App Store or Google Android Play Store?

Yes

How would you rate the severity of your GI symptoms?

Not noticeable, not disruptive to daily life

Mild (noticeable, somewhat disruptive to daily life)

Moderate (disruptive to daily life)

Severe (very disruptive to daily life)

6 out of 5

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