Protection |
1. I never use protection for urine loss |
2. I sometimes use protection, or I have to change my underwear because of urine loss |
3. I normally use protection, or change my underwear several times a day because of urine loss |
4. I always have to use protection because of urinary incontinence |
Amount |
1. The amount of urine loss is just a drop or less |
2. Sometimes I loose a trickle |
3. The loss of urine is so much that it wets noticeably my protection or clothes |
4. The loss of urine is so much that my protection is soaked or leaks |
Frequency |
Involuntary loss of urine occurs: |
1. Once a week or less |
2. More than once but less than three times a week |
3. More than three times a week, but not every day |
4. Every day |
Adjustment |
Implications of urine loss: |
1. I am not hampered in my daily activities |
2. I have stopped some activities, such as some sports and physically demanding activities |
3. I have stopped most physical activities that caused involuntary loss of urine |
4. I almost never go out |
Body (or self) image |
1. I am not bothered by my urine loss |
2. I think urine loss is annoying and troublesome, but I am not greatly bothered by it |
3. Urine loss makes me feel dirty |
4. I am disgusted by myself because of my urinary incontinence |
Total score: |