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    American Urological Association (Aua) Symptom Score: NAME

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    Karam Ali Shah
    This document contains the American Urological Association (AUA) Symptom Score questionnaire. The questionnaire contains 7 questions regarding urinary symptoms experienced over the past month. For each question, the respondent circles how often they experienced each symptom on a scale of 0 to 5, with higher numbers indicating greater frequency. The respondent's scores for each question are summed to calculate a total AUA Symptom Score, with scores of 0-7 considered mild symptoms, 8-19 as moderate symptoms, and 20-35 as severe symptoms. The final question asks the respondent how they would feel about having their current urinary condition for the rest of their life.

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    American Urological Association (Aua) Symptom Score: NAME

    Uploaded by

    Karam Ali Shah
    159 views1 page
    This document contains the American Urological Association (AUA) Symptom Score questionnaire. The questionnaire contains 7 questions regarding urinary symptoms experienced over the past month. For each question, the respondent circles how often they experienced each symptom on a scale of 0 to 5, with higher numbers indicating greater frequency. The respondent's scores for each question are summed to calculate a total AUA Symptom Score, with scores of 0-7 considered mild symptoms, 8-19 as moderate symptoms, and 20-35 as severe symptoms. The final question asks the respondent how they would feel about having their current urinary condition for the rest of their life.

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    AUA Symptom Score

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    This document contains the American Urological Association (AUA) Symptom Score questionnaire. The questionnaire contains 7 questions regarding urinary symptoms experienced over the past month. For each question, the respondent circles how often they experienced each symptom on a scale of 0 to 5, with higher numbers indicating greater frequency. The respondent's scores for each question are summed to calculate a total AUA Symptom Score, with scores of 0-7 considered mild symptoms, 8-19 as moderate symptoms, and 20-35 as severe symptoms. The final question asks the respondent how they would feel about having their current urinary condition for the rest of their life.

    Copyright:

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    Download as PDF, TXT or read online from Scribd
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    159 views1 page

    American Urological Association (Aua) Symptom Score: NAME

    Uploaded by

    Karam Ali Shah
    This document contains the American Urological Association (AUA) Symptom Score questionnaire. The questionnaire contains 7 questions regarding urinary symptoms experienced over the past month. For each question, the respondent circles how often they experienced each symptom on a scale of 0 to 5, with higher numbers indicating greater frequency. The respondent's scores for each question are summed to calculate a total AUA Symptom Score, with scores of 0-7 considered mild symptoms, 8-19 as moderate symptoms, and 20-35 as severe symptoms. The final question asks the respondent how they would feel about having their current urinary condition for the rest of their life.

    Copyright:

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    of 1

    AMERICAN UROLOGICAL ASSOCIATION (AUA) SYMPTOM SCORE

    NAME: ______________________________________
    Do you have any problems when you urinate? We recommend that you talk with a health care provider if your total score on the first seven questions is 8 or greater or if you are bothered at all. Have you noticed any of the following when you have gone to the bathroom to urinate over the past month? Circle the correct answer for you and write your score in the right-hand column.
    Less than half the time 2 2 2 2 2 2 2 times 2 About half the time 3 3 3 3 3 3 3 times 3 More than half the time 4 4 4 4 4 4 4 times 4

    Not at all Incomplete emptying It does not feel like I empty my bladder all the way. Frequency I have to go again less than two hours after I finish urinating. Intermittency I stop and start again several times when I urinate. Urgency It is hard to wait when I have to urinate. Weak stream I have a weak urinary stream. Straining I have to push or strain to begin urination.

    Less than 1 time in 5

    Almost always

    Your Score

    0 0 0 0 0 0 None

    1 1 1 1 1 1 1 time 1

    5 5 5 5 5 5 5 times or more 5 Your Score

    Nocturia I get up to urinate after I go to bed until the time I get up in the morning.

    Total AUA Symptom Score


    Total score: 0-7 mild symptoms; 8-19 moderate symptoms; 20-35 severe symptoms Quality of life due to urinary symptoms If you were to spend the rest of your life with your urinary condition the way it is now, how would you feel about that? Mixed:

    Delighted

    Pleased

    Mostly satisfied

    about equally satisfied and dissatisfied

    Mostly dissatisfied

    Unhappy

    Terrible

    National Headquarters: 1000 Corporate Boulevard, Linthicum, MD 21090 Phone: 410-689-3990 Fax: 410-689-3878 1-800-828-7866 info@UrologyCareFoundation.org www.UrologyHealth.org

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