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Do you consent to share your contact information with the Celiac Canada for the purposes of contacting you regarding the results of this symptom checklist?
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Symptom Checker

I (or my child) have one or more of the following problems:
Abdominal distensionAbdominal painChronic diarrheaPoor appetiteIrritabilityWeight lossPoor growth in childrenMuscle wastingChronic itchy skin rashUnexplained iron or folate deficiency anemiaOral canker soresDental enamel defectsRecurrent vomitingChronic constipationAbnormal liver enzymesJoint pain or swellingBone pain or fractures (osteoporosis)Short statureDelayed pubertyInfertility or repeated miscarriagesUnsteady gait (ataxia)Numbness in arms and legs (peripheral neuropathy)Epilepsy (seizures)DepressionExtreme Fatigue

Do you have a parent, sibling or child who has been diagnosed with celiac disease?
YesNo

Which of the following best describes you?
IndividualParent of a child with the above symptomsCaregiver of a person with the above symptoms

How did you hear about Celiac Canada?
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