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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