Thanks,

Select all that apply. Then, set the frequency and a personal estimate on the minutes spent for each instance.

10 mins increment information text

10 mins increment information text

10 mins increment information text

10 mins increment information text

Please make a selection.

In the last 3 months, how many of these lifestyle changes did you make to accommodate your symptoms?

Select all that apply. Then, set the frequency and a personal estimate on the minutes spent for each instance.

10 mins increment information text

10 mins increment information text

10 mins increment information text

10 mins increment information text

Please make a selection.

You're almost done, ! In the past 3 months, how often did you think about your ?

You have chosen not to answer this question.

Hey,  . When it comes to your  , in the last week, it's impacted about:

 
 

 , it's time to take action. Follow these quick 3 steps to make your next   doctor visit more productive.

Jot down your symptoms, including their frequency and severity, between appointments.

Here's what you answered to help you get started: In the last 3 months, I experienced…

You have chosen not to answer this question.

  •  about x/week.
  •  about x/week.
  •  about x/week.
  •  about x/week.

Take note of the lifestyle adjustments you've been making—your doctor needs to know about this to help you get the most out of your treatment plan.

Here's what you answered to help you get started: In the last 3 months, I…

You have chosen not to answer this question.

  •  about x/week.
  •  about x/week.
  •  about x/week.
  •  about x/week.
  •  about x/week.
  •  about x/week.
  • Thought about my  

Share this with your gastroenterologist at your next visit. The more you share, the more your care team knows in order to find the treatment plan that works for you.

Partner with your doctor to ensure that you're getting the care and treatment you need to manage your  . Talk about your treatment goals and how to get there. Use this list as a starting point to take action and get the conversation going.

 , how would you like to save your personal action plan?

 

, for now, here are some other resources that can help:

you have not answered this question

Help text for Tokens Used in summary page

Token: abbv-quizddg-qtoken-q1-a1 - for 1st question answer .
Token: abbv-quizddg-qtoken-q2-a1 - for 2st question answer .
Format : abbv-quizddg + "-q"+ questionno +"-a"+answerno.

For checkbox

Token: abbv-quizddg-qtoken-q2-a1 -for 8th question answer 1st check box .
Token: abbv-quizddg-qtoken-q2-a1 - for 8th question answer 2nd check box . .
Token: abbv-quizddg-qtoken-q2-a1 -for 8th question answer 3rd check box ..
Format :abbv-quizddg + "-q"+ questionno +"-a"+answerno

For checkbox with sub questions

Token: abbv-quizddg-q4-sq1-a1 - for 4th question answer 1st checkbox and 1st subquestion and 1st answer .
Token: abbv-quizddg-q4-sq1-a2 for 4th question answer 1st checkbox and 1st subquestion and 2nd answer .
Token: abbv-quizddg-q4-sq2-a1 - for 4th question answer 2nd checkbox and 1st subquestion and 1st answer .
Token: abbv-quizddg-q4-sq2-a2 - for 4th question answer 2nd checkbox and 1st subquestion and 2nd answer .
Format :abbv-quizddg + "-q"+ questionno +"-a"+answerno+"-sq"+subquestion no"-a"+answerno

 

Please provide appropriate value in each field's default value property as per Analytics Tech Specs

Form Name:

 

Form Category:

Account Management, Contact, Interactions, Quiz, Registration, Services

 

Form Sub-Category:

Password Resets, Login, Profile, Representative, Contact Us, Polls, Social Share, Doctor Discussion Guide, Dosing Guide, Symptom Checker, Knowledge Assessment, Event, More Info, Sign Up, Saving Card, Benefit Verification, Benefit Enrollments, Medical Exception, Injection Form, Share a Story

 

Form MVA Name:

 

Form MVA Type:

Download, Form, Link, Share, Tool, Video

 

Form MVA Tier:

 

Form MVA Category:

Savings Card, Insurance, Symptom Journal, Test Score Tracker, Condition Information, Doctor Discussion Guide, Dosing Information, Enrollment Form, Flashcard, Medical Exception, Patient Counseling Guide, Savings Card, Symptom Journal, Doctor Discussion Guide, Doctor Search, Dosage Calculator, Enroll

 

Form PII Field Names for Masking:

 

Form MVA Initialize QA: