Question

Name

qi_53_a

Label

53 a

Question Text

How often do you leak urine?

Instructions

(CIRCLE ONE NUMBER)

Type
Code List
Selection Style
SelectOne

Usage

74 questions before...
During the last month have you:
-

1 - Never

2 - Less than 1 time in 5

3 - Less than halft the time

4 - About half the time

5 - More than half the time

6 - Always or almost always

Had to get up in the night to pass water?
Have you found it difficult to wait to pass water once you feel the need?
Once you are ready to pass water have you had to wait before urine comes?
Has your stream stopped and then started again?
Have you had a weak urinary stream?
Have you had a sensation of not emptying your bladder completely after you've finished?
Have you had a burning feeling while passing water?
Have you dripped urine or wet your clothes in a way you couldn't control?

How often do you leak urine?

3
Several times a day
2
Several times a week
1
Less often

Do you usually leak?

1
A few drops?
2
Enough to wet your underpants?
3
So that it wets your trousers?
34 questions after...
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