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  1. Surveys
  2. 2013
  3. February
  4. A
  5. Actazin test
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Hello:
You are invited to participate in our survey, The Effect of Actazin on stool frequency and markers of digestive health of individuals with mild constipation. In this survey, approximately 50 people will be asked to complete a daily survey that asks questions about digestive health. It will take approximately five minutes to complete the questionnaire.

Your participation in this study is completely voluntary. There are no foreseeable risks associated with this project. However, if you feel uncomfortable answering any questions, you can withdraw from the survey at any point. It is very important for us to learn your opinions.

Your survey responses will be strictly confidential and data from this research will be reported only in the aggregate. Your information will be coded and will remain confidential. If you have questions at any time about the survey or the procedures, you may contact Sarah Eady at 03 3259671 or by email at the email address specified below.

Thank you very much for your time and support. Please start with the survey now by clicking on the Continue button below.

 
 
 
 
* How Many bowel movements have you had today?
 
 
0
 
1
 
2
 
3 or more
 
 
 
* Did you have to strain to defecate at any of these times?
 
Yes, for all bowel movements
 
Yes, at least once
 
No
 
 
 
* Did you experience any feelings of "incomplete evacuation" during any of these bowel movements?
 
Yes, for all bowel movements
 
Yes, at least once
 
No
 
 
 
Can you please describe your faeces according to the Bristol Stool Scale?
 
o Type 1 (separate hard lumps, like nuts, hard to pass)
 
o Type 2 (sausage shaped but lumpy)
 
o Type 3 (like a sausage but with cracks on its surface)
 
o Type 4 (like a sausage or snake, smooth and soft)
 
o Type 5 (soft blobs with clear cut edges, passed easily)
 
o Type 6 (fluffy pieces with ragged edges, a mushy stool)
 
o Type 7 (watery, no solid pieces)
 
 
 
* Did you experience any bloating today?
 
Yes
 
No
 
 
 
Did you experience any flatulence/wind today?
 
Yes
 
No
 
 
 
* Have you used any laxatives today?
 
Yes
 
No