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| Questions |
| Do you need to go to the toilet after sleeping at night-time? |
| Do you urinate more than eight times a day? |
| Do you experience any discomfort or pain while urinating? |
| Do you ever have a feeling of instant micturition that you thought would leak urine if you could not reach the toilet? |
| If the answer was yes to question 4, have you ever missed urine before reaching the toilet? |
| Do you miss urine when you cough, sneeze, or laugh? |
