Male Urinary Tract (IPSS) Male Urinary Tract (IPSS) If you are human, leave this field blank. About You Full Name: * Date of Birth: * Please use this date format: DD/MM/YYYY. Phone Number: Email Address: * Any responses we send will go to this email address. Urinary Tract Review Over the past month, how often does your bladder not feel empty when finished passing urine? * Almost Always More than half the time About half the time Less than half the time Less than 1 in 5 times None Over the past month, how often do you need to pass urine within 2 hours of last urinating? * Almost Always More than half the time About half the time Less than half the time Less than 1 in 5 times None Over the past month, how often does the flow stop and start when passing urine? * Almost Always More than half the time About half the time Less than half the time Less than 1 in 5 times None Over the past month, how often is it hard to delay passing urine? * Almost Always More than half the time About half the time Less than half the time Less than 1 in 5 times None Over the past month, how often is the flow poor? * Almost Always More than half the time About half the time Less than half the time Less than 1 in 5 times None Over the past month, how often do you need to push or strain to begin? * Almost Always More than half the time About half the time Less than half the time Less than 1 in 5 times None Over the past month, how often do you need to pass urine after going to bed? * More than 4 times 4 times 3 times 2 times 1 time None If you were to spend the rest of your life with your urinary condition just the way it is now, how would you feel about that? * Delighted Pleased Mostly Satisfied Mixed: Equally Mostly Dissatisfied Unhappy Terrible * I confirm that the information provided is accurate to the best of my knowledge