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Urogenital Distress Inventory

    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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