Australian Pelvic Floor Questionnaire

Once completed you can compare your scores to that of healthy volunteers and those referred for treatment.

Australian pelvic floor questionnaire.

Erience during the last month. 0 up to 7 1 between 8 10 2 between 11 15 3 more than 15 nocturia how many times do you get up at night to pass urine. Takes 5 minutes to complete. Consider your exp patient s name.

How many times do you pass urine in the day. The australian pelvic floor questionnaire apfq is a validated multi lingual self completed questionnaire that evaluates and scores all four areas of female pelvic floor dysfunction. 0 0 1 1 2 2 3. Bladder section q 1 14 score 42 urinary frequency how many times do you pass urine in the day.

0 up to 7 1 between 8 10 2 between 11 15 3 more than 15 2. Please mark x in the box that best describes your symptoms in the last month. Do you experience urine leakage incontinence related to physical activity such as. For example the australian pelvic floor questionnaire as used by behnia et al 15 was tested and validated in a population of women with varying pelvic floor disorders.

This short screening tool is designed for women to check if at risk of pelvic floor problems. How many times to you get up at night to pass urine. Queensland female pelvic floor questionnaire 1 patient. The australian pelvic floor questionaire please circle your most applicable answer.

It also advises women to ensure their exercise program is pelvic floor friendly. The australian pelvic floor questionnaire bladder and bowel domain scores demonstrated moderate positive correlations with the international consultation on incontinence questionnaire short form questionnaire for urinary incontinence r 0 74 p 0 01 and the international consultation on incontinence questionnaire bowel module r 0 69. Page 1 of 2 australian pelvic floor questionnaire please circle your most applicable answer. Consider your experiences during the last month.

The following is a questionnaire about your pelvic health. Pelvic floor bother questionnaire. It has recently been validated in pregnant and postpartum women and designed to facilitate clinical assessment of pelvic. Date of birth.