Some women find that bladder, bowel, or vaginal symtoms affect their activities, relationships, and feelings. For each question place an X in the response that best describes how much your activities, relationships, or feelings have been affected by your bladder, bowel, or vaginal symtoms or conditions over the last 3 months. Please make sure you mark an answer in all 3 columns for each question.
Not at all
Quite a bit