| Over the past 30 days | None | Less than 1 out of every 5 times | Less than half the time | About half the time | More than half the time | Almost always |
|---|---|---|---|---|---|---|
| 1. How often have you felt like you didn't completely empty your bladder after urinating? |
0
|
1
|
2
|
3
|
4
|
5
|
| 2. How many times have you had to urinate again within two hours of your last urination? |
0
|
1
|
2
|
3
|
4
|
5
|
| 3. How many times have you noticed that, when urinating, you would stop and start again several times? |
0
|
1
|
2
|
3
|
4
|
5
|
| 4. How many times have you had trouble holding back the urge to urinate? |
0
|
1
|
2
|
3
|
4
|
5
|
| 5. How often have you noticed that your urine stream is weak? |
0
|
1
|
2
|
3
|
4
|
5
|
| 6. How many times have you had to strain or push to start urinating? |
0
|
1
|
2
|
3
|
4
|
5
|
| 7. Over the past 30 days or so, how many times do you usually have to get up to urinate between the time you go to bed at night and the time you get up in the morning? |
0
|
1
|
2
|
3
|
4
|
5
|
| 8. How would you feel if you had to spend the rest of your life with your current prostate symptoms? |
0
|
1
|
2
|
3
|
4
|
5
|
You have mild symptoms and do not require any immediate action. We recommend:
You have moderate symptoms. We recommend:
You are experiencing severe symptoms. We recommend: