Connect Medical Services -- providing independent health advice & services in and around Bristol
Incomplete emptying

Over the last month how often have you had a sensation of not emptying your bladder completely after you finish urinating?

Never - 0 Less than 1 time in five - 1 Less than half the time - 2 About half the time - 3 More than half the time - 4 Almost always - 5 Your Score
Frequency

Over the past month how often have you had to urinate again less than two hours after finishing

Never - 0 Less than 1 time in five - 1 Less than half the time - 2 About half the time - 3 More than half the time - 4 Almost always - 5 Your Score
Intermittency

Over the past month, how often have you found you stopped and started again several times when you urinated

Never - 0 Less than 1 time in five -  1 Less than half the time - 2 About half the time - 3 More than half the time - 4 Almost always - 5 Your Score
Urgency

Over the past month how often have you found it difficult to hold your urine

Never - 0 Less than 1 time in five - 1 Less than half the time - 2 About half the time - 3 More than half the time - 4 Almost always - 5 Your Score
Weak Stream

Over the past month how often have you had a weak urinary stream

Never - 0 Less than 1 time in five - 1 Less than half the time - 2 About half the time - 3 More than half the time - 4 Almost always - 5 Your Score
Straining

Over the last month how often have you had to push or strain to begin urination?

Never - 0 Less than 1 time in five - 1 Less than half the time - 2 About half the time - 3 More than half the time - 4 Almost always - 5 Your Score
Nocturia

Over the past month how many times did you most typically get up to urinate from the time you went to bed at night until the time you got up in the morning

None - 0 Once - 1 Twice - 2 Three Times - 3 Four Times - 4 Five Times - 5 Your Score
Quality of Life due to Urinary Symptoms

If you were to spend the rest of your life with your urinary condition as it is now, how would you feel about that

Delighted - 0 Pleased - 1 Mostly satisfied - 2 Mixed - 3 Mostly Dis- satisfied - 4 Unhappy or Terrible - 5/6 Your Score
Total IPSS Score