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  4. I
  5. IBS
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Dear Our colleague: we have a research about Irritable Bowel Syndrome (IBS).
Kindly, help us to fill this Questionnaire.This questionnaire will be confidential.
 
 
 
* Age
   
 
 
 
* Gender
 
Male
 
Female
 
 
 
Academic Year
 
2nd
 
3rd
 
4th
 
5th
 
6th
 
 
 
Education Specialty:
 
Nursery
 
Dentistry student
 
Clinical nutrition
 
Physiotherapy
 
Laboratory
 
other, specify
 
 
 
 
Marital status
 
Single
 
Married
 
Engaged
 
Divorced
 
 
 
Father education
 
Less than university
 
University & above
 
 
 
Mother education
 
Less than university
 
University & above
 
 
 
Father occupation
 
Manual
 
Technical
 
Clerical
 
Professional (Doctor, teacher, engineer...etc.)
 
Other, specify
 
 
 
 
Mother occupation
 
Manual
 
Technical
 
Clerical
 
Professional (Doctor, teacher, engineer...etc.)
 
Other, specify
 
 
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