Do you have BPH? Our quiz is designed to identify if you are experiencing potential BPH symptoms. It’s based on the International Prostate Symptom Score (IPSS) survey used by doctors around the world to assess men who may be suffering from BPH. It doesn't attempt to provide medical advice or a diagnosis. It’s simply a tool to help you kick-start the conversation about BPH symptoms with your doctor or urologist. In The Past 30 Days How often do you feel like you didn't completely empty your bladder? Not at all Less than 1 in 5 times Less than half the time About half the time More than half the time Almost always In The Past 30 Days How often do you have to pee every two hours or less? Not at all Less than 1 in 5 times Less than half the time About half the time More than half the time Almost always In The Past 30 Days While peeing, how often do you feel you have to start and stop? Not at all Less than 1 in 5 times Less than half the time About half the time More than half the time Almost always In The Past 30 Days How often do you find it difficult to hold in your pee and go to the washroom later? Not at all Less than 1 in 5 times Less than half the time About half the time More than half the time Almost always In The Past 30 Days How often did your pee come out slowly? Not at all Less than 1 in 5 times Less than half the time About half the time More than half the time Almost always In The Past 30 Days How often did you have to push to start peeing? Not at all Less than 1 in 5 times Less than half the time About half the time More than half the time Almost always Rate Your BPH Treatment The following questions are intended to help evaluate your satisfaction with your current BPH therapy. If you are not completely satisfied, ask your doctor about other treatment options. (Choose how much do you agree or disagree with the survey questions) How is your pee/urine stream like? How frequent you have to pee/urinate during the sleep/night time? How frequent you have to pee/urinate during day time? How do you feel about his bladder symptoms? (quality of life) The following questions is to find out whether are you taking any medications and will you be interested in minimally invasive surgery (Optional) Have you tried medications to help your symptoms? Yes No Did these medications help your symptoms? Yes No Will you be interested in learning about a minimally invasive option that could allow you to discontinue your BPH medications? Yes No We’d like to send you a copy of your results from this quiz. You may keep it, and share this information with your doctor at the next appointment to explore possible treatment options for you if necessary. Email By selecting this checkbox, I fully understand and agree that the personal information which I have provided in this survey will be treated in accordance with Personal Data Protection Act. My personal information collected may be used for future research and learning. Time is Up! Time's up
