SIBO Symptom Quiz & Gut Health Assessment Template
This SIBO Symptom Quiz & Gut Health Assessment Tool is designed to help practitioners and health educators collect structured, educational insights about common digestive symptoms associated with gut health imbalances. The template guides users through a clear, symptom-focused questionnaire that highlights patterns often discussed in the context of Small Intestinal Bacterial Overgrowth (SIBO), such as bloating, gas, abdominal discomfort, bowel irregularity, and food reactions.
Built for clinics, wellness practices, and gut health specialists, this quiz helps standardize intake while creating a more engaging experience for patients or leads. Responses are scored and organized to support educational conversations, early-stage screening, and next-step recommendations - without diagnosing or replacing professional evaluation. The outcome is a clearer picture of symptom trends, improved intake efficiency, and a natural pathway to book a consultation or continue the care journey with a qualified practitioner.
Use case
This SIBO Symptom Quiz & Gut Health Assessment Tool helps you collect meaningful symptom information while setting clear expectations that results are educational - not diagnostic. It creates a smoother intake experience and prepares both practitioner and patient for a more focused discussion.
What this template helps you do:
Gather consistent data on common digestive and gut-related symptoms
Identify symptom patterns commonly associated with SIBO and gut imbalance
Educate users about how symptoms may relate to gut health
Segment leads or patients based on symptom severity and frequency
Guide users toward booking a consultation or next step
Best for:
Naturopathic doctors and functional medicine practitioners
Gut health specialists and wellness clinics
Coaches offering digestive health programs
Practices looking to replace static intake forms with interactive tools
How it works:
Users answer a series of symptom-focused questions related to digestion, food tolerance, and overall gut comfort.
Responses are scored to highlight patterns and relative symptom intensity.
Users receive an educational results summary with a recommended next step, such as booking a consultation.
