Add this to your intake process to spot hidden urinary incontinence problems.
URINARY INCONTINENCE DISTRESS QUESTIONNAIRE
Answer each question by checking the best response. Fill the form out as completely as possible, taking care to consider patients' symptoms over the last 3 months.
URINARY INCONTINENCE IMPACT QUESTIONNAIRE
The questions below refer to activities of daily life that may be influenced or changed by incontinence. For ach question, circle the response that best describes how much activities,relationships, and feelings are being affected by urine leakage.