HP Quiz without Intro

1. How many times a day do you leak (on average)?

Less than 1

1-2

3-5

More than 5

2. How long have you had incontinence?

Less than 1 year

1-5 years

6-10 years

11-20 years

More than 20 years

3. How many pads a day do you use?

0

1

2-3

4+

4. Which statements describe your experience with incontinence?

I worry about coughing and sneezing

I avoid activities I used to enjoy

I worry about it getting worse

I worry where toilets are

I feel depressed or hopeless

None of the above

5. Which of these incontinence contributors do you do?

I drink coffee

I'm a little overweight

I do NOT do Kegel exercises every day

I smoke

I have NOT spoke with a doctor about it

None of the above

6. Which treatments have you tried?

Kegel Exercises

Pelvic Floor Physical Therapy

Biofeedback Devices

Electrical Stimulation

Surgery

I haven't tried any treatments

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