OUR LADY OF FATIMA UNIVERSITY

THE EFFECTIVENESS OF CHIA FRUIT JELLO TO EASE ACID REFLUX

NAME:__________________________________________ GENDER: Male___, Female___

AGE:_____

1. Do you have any allergies with the following?

Apple juice__ Chia Seeds__ Jello__ Milk__
2. Do you feel any discomfort while using chia fruit jello?
Yes No
3. While usimg chia fruit jello did you notice any changes in your acid reflux?
Yes No
4. Do you experience diarrhea while using chia fruit jello?
Yes No
5. Would you say that the chia fruit jello is effective in reducing acid reflux?
Yes No
6. Will you use chia fruit jello again?
Yes No
7. Would you recommend chia fruit jello to others who are also suffering from acid reflux?
Yes No

After a week of using chia fruit jello what changes did you notice in your acid reflux?
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