Australian Pelvic Floor Questionnaire

Do you experience urine leakage incontinence related to physical activity such as.

Australian pelvic floor questionnaire.

Date of birth. 0 0 1 1 2 2 3. 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.

The australian pelvic floor questionaire please circle your most applicable answer. 0 up to 7 1 between 8 10 2 between 11 15 3 more than 15 2. The following is a questionnaire about your pelvic health. Page 1 of 2 australian pelvic floor questionnaire please circle your most applicable answer.

Please mark x in the box that best describes your symptoms in the last month. Consider your experiences during the last month. 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. Takes 5 minutes to complete.

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. How many times to you get up at night to pass urine. Pelvic floor bother questionnaire. Once completed you can compare your scores to that of healthy volunteers and those referred for treatment.

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. Bladder section q 1 14 score 42 urinary frequency how many times do you pass urine in the day. It also advises women to ensure their exercise program is pelvic floor friendly. The self administered australian pelvic floor questionnaire apfq comprehensively integrates four domains to assess bladder bowel prolapse and sexual symptoms their severity their bother and impact on quality of life.

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. Erience during the last month. Consider your exp patient s name.