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Dermatology > Gastroenterology

Please note that some measures are designed to be used for clinical research for outcome
assessment and some measures are designed to be used as a screening tool.

GERD Symptom Questionnaire for Young Children Aged 1 through 4 years (GSQ-YC)

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GERD Symptom Questionnaire for Young Children Aged 1 through 4 years (GSQ-YC)

Description and Context of Use
To assess GERD symptom frequency and severity in young children aged 1-4 years old.
Population age range
Children ages 1 to 4 years
Number of items
6
Recall Period
in the past 7 days
Response Scales
Ordinal anchored numeric rating scale 
Administration Mode
Caregiver administered; Paper and pencil
Administration Time
5 minutes
References
Adaptation of Deal L. et al. 2005. Age-Specific Questionnaires Distinguish GERD Symptom Frequency and Severity in Infants and Young Children: Development and Initial Validation. Journal of Pediatric Gastroenterology and Nutrition. 41: 178-185.

Fitzgerald J.F., Vasundhara Tolia, Fraga P., Peters S., Donnelly C., Mack M., Deal L.S., Gremse D., “Age-specific Questionnaires Distinguish Symptom Frequency and Severity in Young Children with and without Gastroesophageal Reflux Disease”, Sixteenth Annual Meeting of NASPGHAN, Poster, Montreal, November 2003.

Fitzgerald J.F., Vasundhara Tolia, Fraga P., Peters S., Donnelly C., Mack M., Deal L.S., Gremse D., “Age-specific Questionnaires Distinguish Symptom Frequency and Severity in Infants with and without Gastroesophageal Reflux Disease”, Sixteenth Annual Meeting of NASPGHAN, Poster, Montreal, November 2003.
Original Language
English (US)
Additional Language(s):
None
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Form Must
Be Completed