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Prostate Check-Up
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Prostate Problems
Benign Prostatic Hyperplasia – BPH
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My Prostate
Prostate Check-Up
The PSA Test
Prostate Problems
Benign Prostatic Hyperplasia – BPH
Prostate Cancer
Prostatitis
About Us
Contact
Prostate Symptom Questionnaire
1. Incomplete Emptying – Over the past month, how often have you had a sensation of not emptying your bladder completely after you finish urinating?
Less than one in 5 times
Not at all
Less than half the time
About half the time
More than half the time
Always
2. Frequency – Over the past month, how often have you had to urinate again less than two hours after you have finished urinating?
Not at all
Less than one in 5 times
Less than half the time
About half the time
More than half the time
Almost always
3. Intermittency – Over the past month, how often have you found you stopped and started again several times when you urinated?
Not at all
Less than one in 5 times
Less than half the time
About half the time
More than half the time
Almost always
4. Urgency – Over the past month, how often have you found it difficult to postpone urination?
Not at all
Less than one in 5 times
Less than half the time
About half the time
More than half the time
Almost always
5. Weak Stream – Over the last month, how often have you had a weak urinary stream?
Not at all
Less than one in 5 times
Less than half the time
About half the time
More than half the time
Almost always
6. Straining – Over the past month, how often have you had to push or strain to begin urination?
Not at all
Less than one in 5 times
Less than half the time
About half the time
More than half the time
Almost always
6. Straining – Over the past month, how often have you had to push or strain to begin urination?
Not at all
Less than one in 5 times
Less than half the time
About half the time
More than half the time
Almost always
7. Nocturia – Over the past month how many times did you most typically get up each night to urinate from the time you went to bed until the time you got up in the morning
Not at all
Once
Twice
3 times
4 Times
5 or more
Submit
