1. My stomach feels bloated for no apparent reason

Yes No

2. I suffer from flatulence or indigestion quite regularly

Yes No

3. I do not have a bowel movement at least once a day

Yes No

4. I get diarrhoea at least once a month

Yes No

5. I get fluid retention, especially before a period

Yes No

6. I feel really groggy when I wake up in the morning

Yes No

7. I often feel very tired, even though I have had enough sleep

Yes No

8. I experience brain fog, or find it difficult to concentrate

Yes No

9. I frequently suffer from headaches or migraines

Yes No

10. My joints or muscles ache

Yes No

11. I have eczema, acne or a similar skin condition

Yes No

12. I crave wheat-containing foods

Yes No

13. I find my energy slumps after eating pasta, bread or pizza

Yes No

14. My weight can fluctuate for no obvious reason

Yes No

15. I get energy dips at various points of the day

Yes No