Male Questionnaire
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This section deals with antacid use during the past 2 years.

Q807

Have you used calcium-based antacids? Examples include Tums and Rennie.
  • No / don't know
  • Minor use in the past only
  • Significant use in the past only
  • Currently using, for up to 6 months
  • Currently using, for more than 6 months

Q808

Have you used magnesium-based antacids? Examples include Maalox, Mylanta, Milk of Magnesia and Citroma.
  • No / don't know
  • Minor use in the past only
  • Significant use in the past only
  • Currently using, for up to 6 months
  • Currently using, for more than 6 months

Q809

Have you used aluminum-based antacids? Examples include Maalox and Mylanta.
  • No / don't know
  • Minor use in the past only
  • Significant use in the past only
  • Currently using, for up to 6 months
  • Currently using, for more than 6 months

Q810

Have you used bicarbonate-based antacids? An example is Alka-Seltzer.
  • No
  • Minor use in the past only
  • Significant use in the past only
  • Regular use, for up to 6 months
  • Regular use, for more than 6 months

Q811

Have you used H2 blockers such as Tagamet, Pepcid or Zantac?
  • No / don't know
  • Minor use in the past
  • Significant use in the past
  • Currently using, for up to 6 months
  • Currently using, for over 6 months

Q812

Have you used proton pump inhibitors (PPIs) such as Prilosec (Nexium) or Prevacid?
  • No / don't know
  • Minor use in the past
  • Significant use in the past
  • Currently using for up to 6 months
  • Currently using for over 6 months
Report by The Analyst™
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PREVIEW: THIS PAGE WILL NOT BE SAVED
We need your:
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  • consent to collect data
  • name, age, and gender

Click here if you have already started the questionnaire and would like to continue.

Click here to start the questionnaire and receive your own detailed health analysis.

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