Pelvic Floor Disability Index PFDI 20 questionnaire

  • Appropriate for women
  • 20 questions
  • Assesses levels of disability and distress – how much it bothers you
  • Subsections assess pelvic organ prolapse (POP) distress, colorectal-anal distress, and urinary distress

Pelvic Floor Impact Questionnaire PFIQ 7 questionnaire

  • Appropriate for women
  • 7 questions
  • Assesses impact of pelvic symptoms on activities, relationships, and feelings
  • Categories include bladder or urine, bowel or rectum, and vagina or pelvis

Female Sexual Function Index FSFI questionnaire

  • Appropriate for women
  • 19 questions
  • Assesses sexual feelings and responses during the past 4 weeks
  • Subsections include sexual desire or interest, sexual arousal and satisfaction, and pain or discomfort

Queensland Female Pelvic Floor Questionnaire Queensland Female PF questionnaire

  • Appropriate for women
  • 42 questions
  • Assesses visceral pelvic function
  • Subsections include bladder function, bowel function, prolapse symptoms and sexual function

Constipation Questionnaire Constipation questionnaire

  • Appropriate for men and women
  • 29 questions
  • Assess the impact of constipation
  • Subsection include symptoms, effect on daily life, feelings, satisfaction and quality of life

NIH Chronic Prostatitis Symptom Index Female NIHCPSI Female questionnaire

  • Appropriate for women
  • 9 questions
  • Assesses urologic and pelvic pain and function
  • Subsections include pain or discomfort, urination, impact of symptoms, and quality of life

NIH Chronic Prostatitis Symptom Index Male NIHCPSI Male questionnaire

  • Appropriate for men
  • 9 questions
  • Assesses urologic and pelvic pain and function
  • Subsections include pain or discomfort, urination, impact of symptoms, and quality of life

Pelvic Pain and Urgency Frequency (Interstitial Cystitis) PUF IC questionnaire 

  • Appropriate for men and women
  • 8 questions
  • Assesses urinary and sexual function, and pain response

Pelvic Pain Impact Questionnaire PPIQ questionnaire

  • Appropriate for men and women
  • 10 questions
  • Assesses the impact of pelvic pain on your life

Central Sensitization Inventory Central sensitization inventory

  • Appropriate for men and women
  • 2 parts – part A 25 questions, part B 1 question
  • Assesses the symptoms of central sensitization and co-morbid pathology

Bladder Chart Bladder Chart

  • Appropriate for men and women
  • DIY chart for at least 48 consecutive hours (2 days), option for 96 hours (4 days)
  • Assesses fluid intake, bladder frequency and volume, urinary urgency and incontinence

Bristol Stool Chart for Adults

  • Appropriate for men and women
  • Assesses stool consistency / type

Bristol_stool_chart

Choose Your Poo for Kids

  • Appropriate for children
  • Assesses stool consistency / type

choose your poo