Urinary Symptom Assessment

Urinary Symptom Assessment

Name(Required)

Answer the below questions to the best of your ability.

How often have you had the sensation of not emptying your bladder completely after you finished urinating?(Required)
How often have you found you stopped and started again several times when you urinated?(Required)
How often have you had to urinate again less than two hours after you finished urinating?(Required)
How often have you found it difficult to postpone urinating?(Required)
How often have you had a weak stream?(Required)
How often have you had to push or strain to begin urination?(Required)
How many times did you most typically get up to urinate from the time you went to bed at night until the time you got up in the morning?(Required)
Have you tried medications to help your symptoms?(Required)
If yes, do you feel like the medications helped your symptoms?(Required)
Would you be interested in learning about other options to treat your urinary symptoms?(Required)

Add up your symptom scores (1-7 Mild; 8-19 Moderate; 20-35 Severe)

This field is for validation purposes and should be left unchanged.
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