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Age When Diagnosed *

Source of Infection *

Hospital Acquired Community Acquired Long-term Care Facility-acquired Other

Length of Infection *

How long did your C. diff infection last?

Risk Factors *

Current or recent antibiotic use (within 6 months) Proton pump inhibitor use (antacids like Prilosec or Prevacid) Recent stay in a healthcare facility or long-term care facility Recent serious illness or medical procedure Aged 65 or older None of the above Other Which of these risk factors, if any, may have made you vulnerable to a C. diff infection?

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Treatment *

Vancocin (vancomycin) Dificid (fidaxomicin) Flagyl (metronidazole) Fecal Microbiota Transplant (FMT) Rebyota Vowst Zinplava (bezlotoxumab) Clinical Trial Other Which of the following treatments did you have for your C. diff infection? Please select all that apply.

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Number of recurrences

Were you aware of C. diff before being diagnosed?

I had never heard of it. I had heard the name but didn't know much about it. I was familiar with C. diff but didn't think I was at risk. I was very knowledgeable about C. diff.

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