OAB Questionnaire

The questions below ask about how bothered you may be by some bladder symptoms. Some people are bothered by bladder symptoms and may not realize that there are treatments available for their symptoms. Please circle the number that best describes how much you have been bothered by each symptom. Add the numbers together for a total score and write that in the box below the chart.

During the past 4 weeks, how bothered were you by:	Not at all	A little bit	Some-what	Quite a bit	A great deal	A very great deal
1. Frequent urination during daytime hours?	0	1	2	3	4	5
2. An uncomfortable urge to urinate?	0	1	2	3	4	5
3. A sudden urge to urinate with little or no warning?	0	1	2	3	4	5
4. Accidental loss of small amounts of urine?	0	1	2	3	4	5
5. Night-time urination?	0	1	2	3	4	5
6. Waking up at night because you had to urinate?	0	1	2	3	4	5
7. An uncontrollable urge to urinate?	0	1	2	3	4	5
8. Urine loss associated with a strong desire to urinate?	0	1	2	3	4	5
Are you a male? If male, add 2 points to your score

Add up your score: ____________________

If your score is 8 or greater, you may have overactive bladder. There are effective treatments for this condition. You may want to talk to a healthcare professional about your symptoms.

Adapted from Coyne9

Keep a bladder diary

By keeping a bladder diary and recording your symptoms before and after treatment you will be able to help your doctor assess your symptoms before the start of treatment and the benefits of the treatment prescribed.

Click here to complete the bladder diary for at least 3 days9 and take it to your healthcare professional.

For further information about overactive bladder or urinary incontinence

Please talk to your doctor or pharmacist
Phone the Pfizer helpline: 0860 PFIZER (734937)