1. Are you using the bathroom so often it disrupts your day? *

    Yes
    No

2. Do you find yourself making a mental note of where all the bathrooms are when you enter the building? *

    Yes
    No

3. Do you find it hard to make it to the bathroom, maybe even having an accident sometimes? *

    Yes
    No

4. Are you using pads or other forms of protection to absorb bladder leakage? *

    Yes
    No

5. Are you worried that you will leak while sneezing, coughing, lifting heavy objects or even laughing? *

    Yes
    No

6. Has your urine stream become weak or turned into a spray? *

    Yes
    No

If you answered "yes" to one or more of the above questions, consider talking to your physician today about your symptoms and available treatment options.