Do you need to rush/hurry to pass urine when you get the urge?
Does urine leak when you rush/ hurry to the toilet/ Can you make it in time?
Does urine leak with coughing, sneezing, laughing, exercising?
Is your urinary stream/flow weak/prolonged/slow?
Do you have a feeling of incomplete bladder emptying?
Do you need to strain to empty your bladder?
Do you have to wear pads?
Do you have pain in your bladder/urethra when you empty your bladder?
Does urine leakage affect your social life and routine activities (recreation, shopping etc)?
Do you have to strain a lot to empty your bowels?
When you get wind/flatus can you control it or does wind leak?
Do you get an overwhelming sense of urgency to empty bowels?
Do you leak watery stool when you don't mean to?
Do you leak normal stool when you don't mean to?
Do you have the feeling of incomplete bowel emptying?
Do you get a sensation of tissue protrusion in your vagina/lump/bulging?
Do you experience vagina heaviness/dragging/sensation?
Do you have to push back your prolapse in order to urinate?
Do you have to push back your prolapse in order to empty your bowels?
Do you feel that your vagina is too loose or lax?
Do you feel that your vagina is too tight?
Do you experience pain with intercourse?