Pelvic Floor Outcomes Assessment

Track Your Progress

This assessment helps us measure your progress over time. Please answer all questions based on your current experience. You can retake this assessment periodically to track improvements.

International Consultation on Incontinence Questionnaire – Urinary Incontinence Short Form (ICIQ-UI sf)

Many people leak urine some of the time. We would be grateful if you could answer the following questions, thinking about how you have been, on average, over the past four weeks.
How often do you leak urine?
We would like to know how much urine you think leaks. How much urine do you usually leak (whether you wear protection or not)?
Overall, how much does leaking urine interfere with your everyday life?

Please choose a number between 0 (not at all) and 10 (a great deal).

0 - Not at all 10 - A great deal
0
When does urine leak? (Please tick all that apply to you)
ICIQ-UI sf score: the sum of the three questions above – how often you leak, how much you leak, and how much it interferes with everyday life – giving a range of 0–21. A lower score is better. “When does urine leak?” is recorded for context and does not contribute to the score.
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A few additional questions about your bladder symptoms.
How many pads (if applicable) would you wear in a day?
What thickness of pad do you wear?

Pelvic Organ Prolapse Symptom Score (POPSS)

We would be grateful if you could answer the following questions, thinking about how you have been, on average, over the past four weeks. How often during the last four weeks have you had the following symptoms:
Never
Occasionally
Sometimes
Most of the time
All of the time
A8Which of the symptoms above (questions A1 to A7) causes you most bother?

Please select a number from 1 to 7, or "Not applicable".

As your prolapse symptoms are currently, how much do they bother you on a scale of 0-10? 0 being the least, 10 the most.

Please choose a number between 0 (the least) and 10 (the most).

0 - The least 10 - The most
0

This programme is designed to support pelvic health rehabilitation through guided exercises. It does not replace an individual assessment or medical advice from a qualified healthcare professional.

By using this programme, you confirm that you understand it is your responsibility to exercise within your own limits and to seek professional advice if you are unsure about your symptoms, diagnosis, or ability to perform the exercises correctly.

This programme assumes you can correctly activate your pelvic floor muscles. If you are unsure, you are advised to seek assessment from a qualified physiotherapist, such as via the Pelvic Obstetric and Gynaecological Physiotherapy directory.

Progress and outcomes will vary between individuals, and no specific results are guaranteed.

By continuing, you agree to use this programme at your own risk. Further details can be found in our full policy here: Terms and Conditions. Please read before starting.

POPSS Copyright © 2008 S Hagen

ICIQ-UI sf Copyright © “ICIQ Group”