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Botox
Dermal Fillers
PDO Threads
Female Rejuvenation
Urinary Incontinence
Hydrafacial
Morpheus8 Face
Morpheus8 Body
Kybella
Chemical Peel
About
Shop
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Menu
Services
Botox
Dermal Fillers
PDO Threads
Female Rejuvenation
Urinary Incontinence
Hydrafacial
Morpheus8 Face
Morpheus8 Body
Kybella
Chemical Peel
About
Shop
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Request a Consult
Book Now
Menu
Request a Consult
Book Now
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Urinary incontinence quiz
Urinary incontinence impacts 50% of women, take the quiz to see where you may have difficulties.
Take the quiz, see where you may struggle.
Do you leak urine (even small amounts), wet yourself, garments, or pads when you laugh, cough, sneeze, or engage in physical activity?
(Required)
Always
Sometimes
Never
Do you ever experience a sudden or intense urge to urinate with little to no warning?
(Required)
Always
Sometimes
Never
After using the bathroom, do you feel your bladder is not empty?
(Required)
Always
Sometimes
Never
Have you noticed a gradual weakening of your pelvic floor muscles?
(Required)
Always
Sometimes
Never
Have you given birth vaginally?
(Required)
Yes
No
Do you have to rush to the bathroom because you get a sudden, strong need to urinate?
(Required)
Always
Sometimes
Never
Do you feel a need to urinate often?
(Required)
Always
Sometimes
Never
Have your urinary symptoms affected your relationships with your partner/family or friends?
(Required)
Always
Sometimes
Never
Has your bladder control issue caused you embarrassment or anxiety?
(Required)
Always
Sometimes
Never
Do you get up at night to urinate?
(Required)
Always
Sometimes
Never
Name
(Required)
First
Last
Email
(Required)
Phone
(Required)
Name
This field is for validation purposes and should be left unchanged.
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