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Urinary incontinence questionnaire

A short self-assessment of symptoms during the past 4 weeks.

OAB-q SF

How much were you bothered by these symptoms?

Answer all 6 questions. Choose one answer that best describes how you felt during the past 4 weeks. There are no right or wrong answers.

1 - not at all bothered6 - a very great deal
1. An uncomfortable urge to urinate?
2. A sudden urge to urinate with little or no warning?
3. Accidental loss of small amounts of urine?
4. Having to get up at night to urinate?
5. Waking up at night because you had to urinate?
6. Urine loss associated with a strong desire to urinate?