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HERD Health related Quality of Life (GERDHRQL) Questionnaire Patient Name: ___ Date: ___ Are you currently taking any medications for HERD symptoms?YESNOPlease circle the number that best reflects
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Healthcare professionals who are treating patients with GERD and need to assess their quality of life
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It is a measure of the impact of GERD on an individual's overall health and well-being.
Healthcare providers and researchers conducting studies on GERD patients.
The form can be filled out online or on paper, providing detailed information on symptoms, treatments, and impact on daily activities.
The purpose is to assess how GERD affects a person's quality of life and to track improvements over time.
Information such as symptom frequency, severity, medication usage, and limitations on daily activities.
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