Urogenital Distress Inventory

    Instructions

    Do you experience, and if so, how much are you bothered by


    Frequent urination?
    NoYes


    If yes, how much does it bother you?
    Not at allSlightyModeratelyGreatly


    Night time urination?
    NoYes


    If yes, how much does it bother you?
    Not at allSlightyModeratelyGreatly


    Urine leakage related to the feeling of urgency?
    NoYes


    If yes, how much does it bother you?
    Not at allSlightyModeratelyGreatly


    Urine leakage related to physical activity, coughing or sneezing?
    NoYes


    If yes, how much does it bother you?
    Not at allSlightyModeratelyGreatly


    General urine leak not related to urgency or activity?
    NoYes


    If yes, how much does it bother you?
    Not at allSlightyModeratelyGreatly


    Small amounts of urine leakage (drops) ?
    NoYes


    If yes, how much does it bother you?
    Not at allSlightyModeratelyGreatly


    Large amounts of urine leakage?
    NoYes


    If yes, how much does it bother you?
    Not at allSlightyModeratelyGreatly


    Difficulty emptying your bladder?
    NoYes


    If yes, how much does it bother you?
    Not at allSlightyModeratelyGreatly


    Pain or discomfort in the lower abdominal or genital area?
    NoYes


    If yes, how much does it bother you?
    Not at allSlightyModeratelyGreatly


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