Australian Pelvic Floor Questionnaire

The self administered australian pelvic floor questionnaire apfq comprehensively integrates four domains to assess bladder bowel prolapse and sexual symptoms their severity their bother and impact on quality of life.

Australian pelvic floor questionnaire.

How many times do you pass urine in the day. Page 1 of 2 australian pelvic floor questionnaire please circle your most applicable answer. Please mark x in the box that best describes your symptoms in the last month. Consider your experiences during the last month.

How many times to you get up at night to pass urine. Takes 5 minutes to complete. Do you experience urine leakage incontinence related to physical activity such as. For example the australian pelvic floor questionnaire as used by behnia et al 15 was tested and validated in a population of women with varying pelvic floor disorders.

It has recently been validated in pregnant and postpartum women and designed to facilitate clinical assessment of pelvic. The australian pelvic floor questionnaire apfq is a validated multi lingual self completed questionnaire that evaluates and scores all four areas of female pelvic floor dysfunction. Consider your exp patient s name. It also advises women to ensure their exercise program is pelvic floor friendly.

Queensland female pelvic floor questionnaire 1 patient. All information is strictly confidential. 0 up to 7 1 between 8 10 2 between 11 15 3 more than 15 nocturia how many times do you get up at night to pass urine. Once completed you can compare your scores to that of healthy volunteers and those referred for treatment.

This short screening tool is designed for women to check if at risk of pelvic floor problems. Date of birth. 0 up to 7 1 between 8 10 2 between 11 15 3 more than 15 2. 0 0 1 1 2 2 3.

The australian pelvic floor questionaire please circle your most applicable answer. The australian pelvic floor questionnaire bladder and bowel domain scores demonstrated moderate positive correlations with the international consultation on incontinence questionnaire short form questionnaire for urinary incontinence r 0 74 p 0 01 and the international consultation on incontinence questionnaire bowel module r 0 69. Pelvic floor bother questionnaire. The following is a questionnaire about your pelvic health.