This is a really important test!
Please do take the time to think about these questions and fill them in.
Click the button below to start.
Question 1 of 5
Do you leak urine?
Or have you leaked urine during the last 4 weeks?
Yes
No
Question 2 of 5
Have you had ANY leakage from your back passage (anus) even just wind in the last 4 weeks?
Question 3 of 5
Have you experienced any of the following symptoms of pelvic organ prolapse?
Protrusion or feeling of lump / bulge in the vagina
Pressure / heaviness or dragging in the vagina, lower abdomen or lower back
Feeling your bladder is not completely empty? OR difficulty starting to empty your bladder?
Difficulty emptying your bowels? OR feeling like you need to support yourself (Vaginal or perineal pressure) to empty your bowels?
Question 4 of 5
Any of the following concerns regarding having sex:
Lack of sensation during sexual intercourse or vulval touching?
Painful sexual intercourse either on simple touch or on penetration or during/after?
A feeling that your vagina is too tight?
A feeling that your vagina is too loose?
Leaking of urine or faeces during sexual intercourse?
Question 5 of 5
None of the above but I am just wanting to make sure my pelvic floor and core are in good shape for my future.
YES