Quality of Life survey

The survey people were kind enough to resend the questions.
Have a look through this & see how you'd answer. (this is 12 months after prostatectomy)

Over the past 4 weeks, how often have you leaked urine?

- More than once a day
- About once a day
- More than once a week
- About once a week
- Rarely or never

Which of the following best describes your urinary control during the last 4 weeks?

- No urinary control whatsoever
- Frequent dribbling
- Occasional dribbling
- Total control

How many pads or adult diapers per day did you usually use to control leakage during the
last 4 weeks?

- None
- 1 pad per day
- 2 pads per day
- 3 or more pads per day

How big a problem, if any, has each of the following been for you during the last 4 weeks?
- no problem
- very small problem
- small problem
- moderate problem
- big problem

a. Dripping or leaking urine
b. Pain or burning on urination
c. Bleeding with urination
d. Weak urine stream or incomplete emptying
e. Need to urinate frequently during the day

Overall, how big a problem in general has your urinary function been for you during the last 4 weeks?
- no problem
- very small problem
- small problem
- moderate problem
- big problem

How big a problem, if any, has each of the following been for you during the last 4 weeks?
- no problem
- very small problem
- small problem
- moderate problem
- big problem

- Urgency to have a bowel movement
- Increased frequency of bowel movements
- Losing control of your stools
- Bloody stools
- Abdominal/ Pelvic/ Rectal pain

Overall, how big a problem in general has your bowel habits been for you during the last 4 weeks
- No problem
- Very small problem
- Small problem
- Moderate problem
- Big problem

How would you rate each of the following during the last 4 weeks?
- very poor to none
- poor, fair
- good
- very good

- Your ability to have an erection?
- Your ability to reach orgasm?

How would you describe the usual QUALITY of your erections during the last 4 weeks?
- None at all
- Not firm enough for any sexual activity
- Firm enough for masturbation and foreplay only
- Firm enough for intercourse

How would you describe the FREQUENCY of your erections during the last 4 weeks?
- I NEVER had an erection when I wanted one
- I had an erection LESS THAN HALF the time I wanted one
- I had an erection ABOUT HALF the time I wanted one
- I had an erection MORE THAN HALF the time I wanted one
- I had an erection WHENEVER I wanted one

Overall, how would you rate your ability to function sexually
- Very Poor
- Poor
- Fair
- Good
- Very Good

Overall, how big a problem has your sexual function or lack of sexual function been for you
during the last 4 weeks?
- No problem
- Very small problem
- Small problem
- Moderate problem
- Big problem

How big a problem during the last 4 weeks, if any, has each of the following been for you?
(no problem, very small problem, small problem, moderate problem, big problem)
- Hot flashes
- Breast tenderness/enlargement
- Feeling depressed
- Lack of energy
- Change in body weight

During the last 4 weeks, to what extent were you interested in sex?
- Not at all
- A little
- Quite a bit
- Very much

Have you used any medications or devices to aid or improve erections?
- Yes
- No

For each of the following medicines or devices, please indicate whether or not you have tried or
currently use it to improve your erections
- Have not tried it
- Tried it but was not helpful
- It helped but I am not using it now
- It helped and I use it sometimes
- It helped and I use it always

a. Viagra or another pill to improve your erections?
b. Muse (intra-urethral alprostadil suppository) to improve your erections
c. Penile injection therapy (such as caverject) to improve your erections
d. Vacuum erection device (such as erect-aid) to improve your erections?
e. Medication/ device other than those explicitly listed to improve your erections?

@peterj116 That looks like the IRONMAN survey (at least, the questions are almost identical, unless I'm mixing it up with Your Symptoms Matter).

@peterj116 That looks like the IRONMAN survey (at least, the questions are almost identical, unless I'm mixing it up with Your Symptoms Matter).

@northoftheborder
Hang on... why does IronMan want details of your erections?
That sounds dodgy.
Maybe I don't want to be an Ironman.

@peterj116 Agreed. I think I'll wait for the WetNoodleMan survey...less pressure.