Incontinence questionnaire Survey

This questionnaire, promoted by the WFIP (World Federation of Incontinence Patients), is aimed exclusively at people who suffer from some sort of incontinence. Its purpose is to better understand their experiences and how incontinence influences their everyday life in order to offer future services to our community of people affected by this problem.

Disclaimer: This survey is strictly confidential and anonymous. No personal data will be compiled from the individuals surveyed and the responses will only be used to obtain global results.

1.Please indicate whether you are a:(Required.)

Male

Female

Prefer not to say

2.Please indicate your current age:(Required.)

3.Select your country of residence:(Required.)

4.In general, would you say your state of health is:(Required.)

Very Good

Good

Average

Poor

5.What type of incontinence do you have?(Required.)

Urinary incontinence

Faecal incontinence

Mixed incontinence

6.When did the symptoms start?(Required.)

After giving birth

After menopause

After several infections

When I was diagnosed with a prostate problem

Due to a neurological disease (e.g. multiple sclerosis, Parkinson’s disease, Alzheimer's disease, cerebral palsy, stroke, head injury …)

Diabetes

Other causes (please specify)

8.How many professionals did you see before receiving a diagnosis?(Required.)

11.What was your main problem in obtaining a correct diagnosis and starting treatment?(Required.)

I didn’t have any major difficulty, as I visited my doctor when the symptoms started and he/she prescribed my treatment

When I consulted my doctor, he/she didn’t think my symptoms were important, so it was months before I started receiving treatment

I found it very difficult to talk about my problem with the doctor, because I was embarrassed and this delayed my diagnosis and treatment

I thought my problem was normal and there was no cure, so it was a long time before I visited the doctor about it

I was told it was part of aging and told to live with it

Other (please specify)

12.Have you had problems in receiving diagnosis and treatment for your incontinence for any of the following reasons? (multiple responses can be chosen)(Required.)

Other (please specify)

16.How would you rate the information that you receive about incontinence from different sources (e.g. clinicians, nurses, Google, social media, …)?(Required.)

It is sufficient and useful

It is poor

It is not sufficiently useful

I consider sources other than my doctor not reliable

I don’t regularly receive or look for information about incontinence

Thank you for your answers and for helping improve quality of life for all.

Current Progress,

0 of 18 answered