Patient Questionnaire | IPSS Prototype

Instructions

Before answering

Answer all questions carefully based on your symptoms over the past month. There is no need to hurry. Once you submit your responses, your score will be shared with your doctor and you will be called in for consultation.

Patient Details

Before you begin

Email address Mobile number I consent to sharing these details and my IPSS responses with my doctor for clinical follow-up.

Questionnaire

IPSS Questions

Quality of Life

International Prostate Symptom Score

Before answering

Before you begin

IPSS Questions