You will find below a number of questionnaires on various urological issues that might be helpful in documenting the symptoms a patient is experiencing, their severity and effect on their quality of life.
ICIQ-UI Short Form
This is a validated questionnaire designed to document the type, frequency and severity of incontinence in men or women.
Download ICIQ-UI Short Form – PDF (73Kb)
ICIQ-OAB
This is a validated questionnaire designed to outline the severity of symptoms of an overactive bladder – frequency, urgency etc.
Download ICIQ-OAB – PDF (82Kb)
ICIQ-OABqol
This is a validated questionnaire to document the effect an overactive bladder has on a person’s quality of life.
Download ICIQ-OABqol – PDF (108Kb)
ICIQ-MLUTS Long Form
This is a validated questionnaire to document the type, frequency and severity of lower urinary tract symptoms in a man.
Download ICIQ-MLUTS Long Form – PDF (117Kb)
ICIQ-MLUTS
A shorter version of the form.
Download ICIQ-MLUTS – PDF (96Kb)
ICIQ-FLUTS Long Form
This is a validated questionnaire to document the type, frequency and severity of lower urinary tract symptoms in a woman.
Download ICIQ-FLUTS Long Form – PDF (50Kb)
ICIQ-FLUTS
A shorter version of the form.
Download ICIQ-FLUTS – PDF (103Kb)
ICIQ-LUTSqol
This is a validated questionnaire to document the effect lower urinary tract symptoms on a person’s quality of life.
Download ICIQ-LUTSqol – PDF (105Kb)
International Prostate Symptom Score (IPSS)
This is a validated questionnaire to document the type, frequency and severity of lower urinary tract symptoms – it can be used in men or women. It is the most frequently used questionnaire in the assessment of LUTS.
Download International Prostate Symptom Score – PDF (55Kb)
International Index of Erectile Function (IIEF)
International Index of Erectile Function. This is a validated questionnaire to document the type, frequency and severity of sexual symptoms in a man. This questionnaire is probably the most widely used in the assessment of male sexual issues.
Download International Index of Erectile Function – PDF (147Kb)
ICIQ-MLUTSsex
This is a validated questionnaire to document the type, frequency and severity of lower urinary tract symptoms in a man. This questionnaire was developed to be consistent with the other ICI Questionaries.
Download ICIQ-MLUTSsex – PDF (37Kb)