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Please answer all the Question.
Unanswered Questions will be Highlighted in RED background. |
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Pain or Discomfort
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In the last week, have you experienced any pain or discomfort in the following areas? |
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In the last week, have you experienced |
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How often have you had pain or discomfort in any of these areas over the last week?
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Which number best describes your average pain or discomfort on the days that you
had it, Over the last week?
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Urination |
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How often have you had a sensation of not emptying your bladder completely after
you finished urinating, over the last week? |
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How often have you had to urinate again less than two hours after you finished urinating,
over the last week?
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Impact of symptoms |
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How much have your symptoms kept you from doing the kinds of things you would usually
do, over the last week? |
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How much did you think about your symptoms, over the last week? |
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Quality of life |
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If you were to spend the rest of your life with your symptoms just the way they
have been during the last week, how would you feel about that? |
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