1. Within the last 30 days, how often do you have the sensation of not emptying your bladder upon urination?
2. Within the last 30 days, how often have you had the urge to urinate again within two hours from your last urination?
3. Within the last 30 days, how often have you found you needed to stop or start again when you urinate?
4. Within the last 30 days, how difficult have you found it to hold urination?
5. Within the last 30 days, how often have you had a weak urinary stream?
6. Within the last 30 days, how often have you had to push or strain to begin urination?
7. Within the last 30 days, how often would you get up to urinate from the time you went to bed, to the time you woke up the next morning?
8. If you were to spend the rest of your life with your current urinary condition, how would that make you feel?