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Florida Prostate Centers®
+1 561-560-0723
Delray Beach
, FL (Palm Beach Prostate Center®)
+1 239 387-2099
Naples
, FL (Naples Prostate Center®)
BPH
BPH Symptoms
BPH FAQ’s
PAE
About PAE
PAE FAQ’s
Other Treatments
Geniculate Artery Embolization (GAE)
Uterine Fibroid Embolization (UFE)
Hemorrhoid Artery Embolization (HAE)
Locations
Naples Prostate Center®
Palm Beach Prostate Center®
Resources
Webinar
BackTable IR With Dr. Bhatia
1000 Patient Experience
Pre & Post Procedure Expectations
About Us
Testimonials
Lectures/Media
Contact Us
BPH
BPH Symptoms
BPH FAQ’s
PAE
About PAE
PAE FAQ’s
Other Treatments
Geniculate Artery Embolization (GAE)
Uterine Fibroid Embolization (UFE)
Hemorrhoid Artery Embolization (HAE)
Locations
Naples Prostate Center®
Palm Beach Prostate Center®
Resources
Webinar
BackTable IR With Dr. Bhatia
1000 Patient Experience
Pre & Post Procedure Expectations
About Us
Testimonials
Lectures/Media
Contact Us
Delray Beach, FL
Naples, FL
Take this questionnaire today to see if you have BPH!
1. Incomplete Emptying
Over the past month, how often have you had a sensation of not emptying your bladder completely after you finish urinating?
Not At All
Less Than 1 Time In 5
Less Than Half The Time
About Half The Time
More Than Half The Time
Almost Always
2. Frequency
Over the past month, how often have you had to urinate again less than two hours after you have finished urinating?
Not At All
Less Than 1 Time In 5
Less Than Half The Time
About Half The Time
More Than Half The Time
Almost Always
3. Intermittency
Over the past month, how often have you found you stopped and started again several times when you urinated?
Not At All
Less Than 1 Time In 5
Less Than Half The Time
About Half The Time
More Than Half The Time
Almost Always
4. Urgency
Over the past month, how often have you found it difficult to postpone urination?
Not At All
Less Than 1 Time In 5
Less Than Half The Time
About Half The Time
More Than Half The Time
Almost Always
5. Weak Stream
Over the last month, how often have you had a weak urinary stream?
Not At All
Less Than 1 Time In 5
Less Than Half The Time
About Half The Time
More Than Half The Time
Almost Always
6. Straining
Over the past month, how often have you had to push or strain to begin urination?
Not At All
Less Than 1 Time In 5
Less Than Half The Time
About Half The Time
More Than Half The Time
Almost Always
7. Nocturia
Over the past month how many times did you most typically get up each night to urinate from the time you went to bed until the time you got up in the morning?
Not At All
Less Than 1 Time In 5
Less Than Half The Time
About Half The Time
More Than Half The Time
Almost Always
Quality of Life due to Urinary Symptoms
If you were to spend the rest of your life with your urinary condition just the way it is now, how would you feel about that?
Delighted
Pleased
Mostly satisfied
Mixed Mostly
unhappy
Unhappy
Terrible
Submit
Palm Beach
+1 561-560-0723
Naples
+1 239 387-2099
