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GERD-specific work productivity and activity impairment questionnaire (WPAI-GERD) |
| 1. Are you currently employed? |
| 2. During the past 7 days, how many days did you work? |
| 3. How many of those days did you have reflux symptoms while working? |
| 4. During the past 7 days, how many hours were you absent from work because of problems associated with your reflux symptoms? |
| 5. During the past 7 days, how many hours were you absent from work for any other reason than problems associated with your reflux symptoms? |
| 6. During the past 7 days, how many hours did you actually work? |
| 7. During the past 7 days, how much did your reflux symptoms on average affect your normal productivity while you were working? |
| 8. During the past 7 days, how much did your reflux symptoms on average affect your normal productivity while you were doing your regular activities, other than working? |
El-Dika et al. BMC Gastroenterology 2005 5:23 doi:10.1186/1471-230X-5-23 |