IIQ-7

1. Has urine leakage affected your ability to do household chores (cooking, housecleaning, laundry)?

2. Has urine leakage affected your physical recreation such as walking, swimming, or other exercise?

3. Has urine leakage affected your entertainment activities (movies, concerts, etc.)?

4. Has urine leakage affected your ability to travel by car or bus more than 30 minutes from home?

5. Has urine leakage affected your participation in social activities outside your home?

6. Has urine leakage affected your emotional health (nervousness, depression, etc.)?

7. Has urine leakage caused you to feel frustrated?