1. Incomplete Emptying Choose answer 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 
 
	2. Frequency Choose answer 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 
 
	3. Intermittency Choose answer 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 
 
	4. Urgency Choose answer 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 
 
	5. Weak Stream Choose answer 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 
 
	6. Straining Choose answer 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 
 
	Quality of Life due to Urinary Symptoms Choose answer 0.Delighted 1.Pleased 2.Mostly satisfied 3.Mixed 4.Mostly unhappy 5.Unhappy 6.Terrible