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©The Author(s) 2026.
World J Methodol. Mar 20, 2026; 16(1): 108875
Published online Mar 20, 2026. doi: 10.5662/wjm.v16.i1.108875
Table 1 Clinical questionnaire to select potential donors

Question
Medical historyAny history of
Concurrent acute, medical illness?
Any symptoms pertaining to gastrointestinal disease (nausea/ vomiting/ pain abdomen/ diarrhea/ blood in stool)?
Chronic gastrointestinal (GI) disease (personal or family history), including functional GI disorders, inflammatory bowel disease, celiac disease or other chronic GI disease
Any history of chronic illness (such as diabetes/ hypertension/ heart disease/ kidney disease/ liver disease/ HIV/malignancy)?
Acute diarrhea (in the prospective donor or his/her contacts) in the past four weeks
Typhus or other salmonellosis
Tuberculosis (acute or past)
Systemic autoimmune diseases, e.g., multiple sclerosis, connective tissue disorders
Atopic diseases
Neurological or psychiatric diseases [depression, chronic pain (fibromyalgia, chronic fatigue syndrome, etc.)]
Obesity (body mass index > 30)
Known food or medication allergy
Cancer, including GI cancer or polyposis syndrome
Travel historyAny history of high-risk travel in the past six months
Social historyAny history of
High risk sexual behavior
Imprisonment
Illicit drug use
Body modifications such as tattooing, piercing, etc., in the past six months
Occupational activity in a hospital or other health-care institution with patient contact; occupational activity in agriculture
Family historyAny history of premature colon cancer or early onset polyposis syndromes in first-degree family members
Treatment historyAny history of
Recent hospitalization/discharge from long-term care facilities (past 6 months)
Antibiotic treatment in the past three months
Blood transfusions in the past five years
Long-term drug treatment (e.g., with antibiotics, immunosuppressants, proton pump inhibitors, chemotherapy)
Tissue/organ transplant
Having been a participant in any clinical trial in the past six months
Bowel resection or gastric reduction surgery


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