International Prostate Symptom Score (IPSS) IPSS Your Full Name * Date of Birth Your GP * Choose from the list Dr Walls Dr Boyd Dr Calvert Dr MacSorley Dr Carswell Dr Dickie Dr Gilhespy Dr Jayaprakash Dr Alkhadire ANP Claire Hill Incomplete emptying * (Over the past month, how often have you had a sensation of not emptying your bladder completely after you finish urinating?) 0 - Not at all 1 - Less than 1 time in 5 2 - Less than half the time 3 - About half the time 4 - More than half the time 5 - Almost always Frequency * (Over the past month, how often have you had to urinate again less than two hours after you finished urinating?) 0 - Not at all 1 - Less than 1 time in 5 2 - Less than half the time 3 - About half the time 4 - More than half the time 5 - Almost always Intermittency * (Over the past month, how often have you found you stopped and started again several times when you urinated?) 0 - Not at all 1 - Less than 1 time in 5 2 - Less than half the time 3 - About half the time 4 - More than half the time 5 - Almost always Urgency * (Over the last month, how often have you found it difficult to postpone urination?) 0 - Not at all 1 - Less than 1 time in 5 2 - Less than half the time 3 - About half the time 4 - More than half the time 5 - Almost always Weak stream * (Over the past month, how often have you had a weak urinary stream?) 0 - Not at all 1 - Less than 1 time in 5 2 - Less than half the time 3 - About half the time 4 - More than half the time 5 - Almost always Straining * (Over the past month, how often have you had to push or strain to begin urination?) 0 - Not at all 1 - Less than 1 time in 5 2 - Less than half the time 3 - About half the time 4 - More than half the time 5 - Almost always Nocturia * (Over the past month, many times did you most typically get up to urinate from the time you went to bed until the time you got up in the morning?) 0 - None 1 - 1 time 2 - 2 times 3 - 3 times 4 - 4 times 5 - 5 times or more Total score: 0-7 Mildly symptomatic; 8-19 moderately symptomatic; 20-35 severely symptomatic. Quality of life due to urinary symptoms * (If you were to spend the rest of your life with your urinary condition the way it is now, how would you feel about that?) 0 - Delighted 1 - Pleased 2 - Mostly satisfied 3 - Mixed - about equally satisfied and dissatisfied 4 - Mostly dissatisfied 5 - Unhappy 6 - Terrible reCAPTCHA Submit Start Over If you are human, leave this field blank.
