Aua Symptom Score Sheet Over the past month how many times per night did you most typically get up to urinate from the time you went to bed at night until the time you got up in the morning Add the score for each number above and write the total in the space to the right TOTAL
Over the past week or so how often have you had a sensation of not emptying your bladder completely after you finished urinating During the past week or so how often have you had to urinate again less than two hours after you finished urinating Total score 0 7 mild symptoms 8 19 moderate symptoms 20 35 severe symptoms Quality of life due to urinary symptoms If you were to spend the rest of your life with
Aua Symptom Score Sheet
Aua Symptom Score Sheet
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TOTAL SCORE Quality of Life QoL If you were to spend the rest of your life with your urinary condition just the way it is now how would you fell about that 0 Delighted 1 Pleased 2 Mostly Satisfied 3 Mixed 4 Mostly Dissatisfied 5 Unhappy 6 Terrible Have you tried medications to help your symptoms Y E S N O Your Score AUA SYMPTOM SCORE Name MRN Date Please circle the best response that pertains to each of the seven questions listed below and list your score next to each question When the questionnaire is completed tally up each score for your total AUA score 4 Urgency Over the past month how often have you found it difficult to postpone
AUA Symptom Score Author The Biostatistics Center Created Date 5 14 2014 10 26 48 AM Circle your score for each question below Over the past month or so how often have you had a sensation of not emptying your bladder completely after you finished urinating Over the past month or so how often have you had to urinate again
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AUA SYMPTOM SCORE Highlight or bold or change font color of the response correct for you and type in your score in the far right box for all SEVEN questions 1 Incomplete emptying Over the past month how often have you had a sensation of not emptying your bladder completely after you finished urinating Not at all Less than 1 time in 5 Less than Over the past month or so how often have you had a sensation of not emptying your bladder completely after you finished urinating During the past month or so how often have you had to urinate again less than two hours after you finished urinating
Circle the number of the response that best describes your urinary function and write your score in the far right box for all SEVEN questions 1 Incomplete emptying Over the past month how often have you had a sensation of not emptying your bladder completely after you finished urinating 2 The American Urological Association AUA has created this symptom index to give you and your physician an understanding of the severity of your enlarged prostate symptoms
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Over the past month how many times per night did you most typically get up to urinate from the time you went to bed at night until the time you got up in the morning Add the score for each number above and write the total in the space to the right TOTAL
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Over the past week or so how often have you had a sensation of not emptying your bladder completely after you finished urinating During the past week or so how often have you had to urinate again less than two hours after you finished urinating
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Aua Symptom Score Sheet - AUA symptom score questionnaire The American Urological Association AUA has created this symptom index to give you and your physician an understanding of the severity of your enlarged prostate symptoms
