Most people with celiac disease are undiagnosed. This checklist helps you document if you or your child have any of the common symptoms or conditions of celiac disease.
This checklist is NOT a diagnosis tool. To receive a copy, submit your email address. Be sure to check your spam filter if you do not immediately receive a copy of your completed checklist.
Share your checklist responses with your physician to determine if you or your child should have the celiac disease panel blood test. A proper diagnosis can only be made by a physician.
INSTRUCTIONS: For you or your child, select the symptoms and conditions that apply and their frequency where indicated. Hover your mouse over each blue tool tip icon for a more detailed description.