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MLUTS-SF questionnaire

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Many people experience urinary symptoms some of the time. We are trying to find out how many people experience urinary symptoms, and how much they bother them. We would be grateful if you could answer the following questions, thinking about how you have been, on average, over the PAST FOUR WEEKS.

Please enter a number between 0 (not at all) and 10 (a great deal) to tell us how much a urinary problem bothers you.

Name
DD slash MM slash YYYY
2. Is there a delay before you can start to urinate?*
3. Do you have to strain to continue urinating?*
4. Would you say that the strength of your urinary stream is..*
5. Do you stop and start more than once while you urinate?*
6. How often do you feel that your bladder has not emptied properly after you have urinated?*
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7. Do you have a sudden need to rush to the toilet to urinate?*
8. Does urine leak before you can get to the toilet?*
9. Does urine leak when you cough or sneeze?*
10. Do you ever leak for no obvious reason and without feeling that you want to go?*
11. Do you leak urine when you are asleep?*
12. How often have you had a slight wetting of your pants a few minutes after you had finished urinating and had dressed yourself?*
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13. How often do you pass urine during the day?*
14. During the night, how many times do you have to get up to urinate, on average?*