1. Hesitancy: Do you have to wait for urination to start?

2. Decreased stream: Is your urinary stream weak or dribbling?

3. Incomplete emptying: Do you feel you empty your bladder completely?

4. Straining: Do you have to strain to start and/or maintain urination?

5. Daytime frequency: What is the longest interval between each urination, from when you wake up until you go to bed?

6. Nocturnal urination: How many times do you have to urinate during the night?

7. Urge: Do you experience an imperative (strong) urge to urinate?

8. Urge incontinence: Is the urge to urinate to strong that urine starts to flow before you reach the toilet?

9. Dysuria: Does it hurt or burn when you urinate?

10. Terminal dribbling: Do you experience dribbling after voiding, when you feel you have finished urination?

11. Stress incontinence: Do you experience leakage of urine when physically active (e.g. lighting, sneezing, coughing)?

12. Other incontinence: Do you experience leakage without urge or physical activity?