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ICIQ-SF test

An international questionnaire doctors use to assess how often urine leaks and how much it affects life. Think about how you've been over the past 4 weeks. It takes about 2 minutes.

Take part in research (optional) UroWoman Kazakhstan studies how common urinary incontinence is among women in Kazakhstan. You can help by anonymously sharing your test answers and a few details about yourself. We don't ask for your name, phone or email and cannot know who you are. Without consent the test works as usual and nothing is sent. I am 18 or older and agree to share my answers anonymously for scientific research

1. How often do you leak urine? Never About once a week or less often Two or three times a week About once a day Several times a day All the time

2. How much urine do you usually leak (whether you wear protection or not)? None A small amount A moderate amount A large amount

3. Overall, how much does leaking urine interfere with your everyday life? Selected: 0

0 — not at all10 — a great deal

4. When does urine leak? Tick all that apply to you. This question doesn't affect the score, but it helps the doctor identify the type of symptoms. Before I can get to the toilet When I cough or sneeze When asleep When I am physically active or exercising When I have finished urinating and am dressed For no obvious reason All the time

Understanding your result

The score from 0 to 21 is the sum of your answers to the first three questions. The higher the score, the more symptoms affect your life:

0 — no leakage;
1–5 — slight;
6–12 — moderate;
13–18 — severe;
19–21 — very severe.

Even with a slight score it's worth discussing symptoms with a doctor: at an early stage, simple measures help — exercises and changing habits. Print your result and take it to your appointment together with a bladder diary. After 3 months of treatment you can retake the test to see the change.

ICIQ-SF — International Consultation on Incontinence Questionnaire – Short Form (Avery K, et al., Neurourol Urodyn 2004). Severity bands after Klovning A, et al., Neurourol Urodyn 2009. The questionnaire is owned by ICIQ.