| Over the past month | Not at all | Less than one time in five | Less than half the time | About half the time | More than half the time | Almost always |
| Incomplete emptying; How often have you had the sensation of not emptying your bladder completely after you finished urinating? | 0 | 1 | 2 | 3 | 4 | 5 |
| Frequency; How often have you had to urinate again less than two hours after you finished urinating? | 0 | 1 | 2 | 3 | 4 | 5 |
| Intermittency; How often How often you have found you stopped and started again several times when you urinate? | 0 | 1 | 2 | 3 | 4 | 5 |
| Urgency; How often have you found it difficult to postpone urination? | 0 | 1 | 2 | 3 | 4 | 5 |
| Weak stream; How often have had to push or strain to begin urination? | 0 | 1 | 2 | 3 | 4 | 5 |
| Sleeping; How many times did you most typically get up to urinate from the time you went to bed a t night until the time you got up in the morning? | 0 | 1 | 2 | 3 | 4 | 5 |
| Symptoms scores |
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