The ICIQ UI Short Form opens with a brief welcome that explains its clinical purpose, then works through five questions to build a complete picture of a patient's urinary incontinence. The first two questions establish frequency and volume of leakage, giving the clinician a baseline severity measure. A single-choice question then asks patients to score how much leaking urine interferes with daily life on a zero-to-ten scale, capturing personal impact before the form asks when leaks occur — a multiple-choice question that can surface one or more triggers, from coughing to urgency to no obvious reason at all. A final single-choice question asks patients to score their overall bladder condition as a problem. After submitting, patients see a short thank-you screen confirming their responses will inform their care.
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Relies on the "How often do you leak urine?" and "How much urine do you usually leak?" questions to establish a clinical baseline before the appointment begins.
Uses the multi-select trigger question to pinpoint whether leakage is linked to exertion, urgency, position change, or other factors, directly shaping the treatment approach.
Depends on the two zero-to-ten impact ratings to quickly identify patients whose daily life or overall wellbeing is significantly affected and who may need onward referral.
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