Register for mySymptoms Clinic information
We are currently running a trial of mySymptoms Clinic. We are now closed to new participants, but why not register to keep up to date with the latest news and influence its design by providing us with feedback on what you would like to see in the app?

Please provide some background information about you and your patients to help us better understand your needs. It will only take a minute!

PS. We will only use your contact details for mySymptoms Clinic - nothing else!
Sign in to Google to save your progress. Learn more
Name *
Email *
Your clinical role *
Which of the following conditions do you regularly treat? (tick all that apply)
How often do you treat patients with IBS, food intolerance, or Crohn's disease?
Clear selection
How many consultations do you have with a typical patient?
How many patients do you typically treat per month?
How many of your patients have provided you with mySymptoms diary reports?
Clear selection
Please tick the following features if they would be useful treating your patients:
What else would be helpful in your day-to-day treatment of patients?
Do you currently use any mobile or web-based apps in the treatment of your patients? If so, please list.
Anything else that would help with your consultations?
Clear form
Never submit passwords through Google Forms.
This content is neither created nor endorsed by Google.