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| KHQ question | Significant content |
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| (1) How would you evaluate your health today? | Health |
| (2) How much do you think your bladder problem hampers your life? | Bladder problems, hampering your life |
| (3) Frequency: do you go the bathroom too often? | Frequency going to the bathroom |
| (4) Nocturia: do you get up at night to urinate? | Nocturia, getting up |
| (5) Urgency: do you feel urgency to urinate and have difficulty controlling it? | Urinary urgency |
| (6) Hyperactive bladder: do you lose urine when you feel urgency to urinate? | Hyperactive bladder |
| (7) Urinary incontinence by exertion: do you lose urine during physical activities? | Urinary incontinence, physical activities |
| (8) Nocturnal enuresis: do you wet your bed at night? | Nocturnal enuresis |
| (9) Incontinence during sexual intercourse: do you lose urine during sexual intercourse? | Incontinence during sexual intercourse |
| (10) Frequent infections: do you have many urinary infections? | Urinary infections |
| (11) Pain in the bladder: do you feel pain in the bladder? | Pain in the bladder |
| (12) Do you have any other problem related to your bladder? | Problem related to your bladder |
| (13) How intensely do your bladder problems hinder your house chores? (cleaning, washing, and cooking, etc.) | House chores (cleaning, washing, cooking, etc.) |
| (14) How intensely do your bladder problems hinder your work or your daily activities outside the house? (shopping, taking children to school, etc.) | Work, daily activities outside the house (shopping, taking children to school, etc.) |
| (15) Do your bladder problems hinder your physical activities? (walking, running, or any other sport?) | Physical activities (walking, running, or any other sport) |
| (16) Do your bladder problems hinder you when you want to travel? | Travelling |
| (17) Do your bladder problems hinder you when go to the church, a meeting, a party? | Church, meeting, and party |
| (18) Do you avoid visiting friends because of your bladder problems? | Visiting friends |
| (19) Do your bladder problems hinder your sexual life? | Sex life |
| (20) Do your bladder problems hinder your life with your partner/husband? | Partner/husband |
| (21) Do your bladder problems disturb your family members? | Disturbing family members |
| (22) Do you feel depressed with your bladder problems? | Depression |
| (23) Do you feel anxious or nervous with your bladder problems? | Anxious, nervous |
| (24) Do you feel bad about yourself because of your bladder problems? | Feeling bad about yourself |
| (25) Do your bladder problem hinder your sleep? | Sleep |
| (26) Do you use any kind of hygienic protection such as diapers, pads, or lining to keep yourself dry? | Hygienic protection |
| (27) Do you control the amount of liquids you drink? | Controlling the amount of liquids, drinking |
| (28) Do you need to change your underwear (panties) when you get wet? | Changing underwear |
| (29) Do you worry about smelling like urine? | Smelling of urine |
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