In the past month:

Not at All

Less than 1 in 5 Times

Less than Half the Time

About Half the Time

More than Half the Time

Almost Always

Your score

1. Incomplete Emptying

0

1

2

3

4

5

How often have you had the sensation of not emptying your bladder?

2. Frequency

0

1

2

3

4

5

How often have you had to urinate less than every 2 hours?

3. Intermittency

0

1

2

3

4

5

How often have you found you stopped and started again several times when you urinated?

4. Urgency

0

1

2

3

4

5

How often have you found it difficult to postpone urination?

5. Weak Stream

0

1

2

3

4

5

How often have you had a weak urinary stream?

6. Straining

0

1

2

3

4

5

How often have you had to strain to start urination?

None

1 Time

2 Times

3 Times

4 Times

5 Times

7. Nocturia

0

1

2

3

4

5

How many times did you typically get up at night to urinate?

Total IPSS Score

Score: 1 - 7: Mild 8 - 19: Moderate 20 - 35: Severe

Quality of Life Due to Urinary Symptoms

If you were to spend the rest of your life with your urinary condition just the way it is now, how would you feel about that?

0

1

2

3

4

5

6