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. Author manuscript; available in PMC: 2025 Apr 1.
Published in final edited form as: Neurourol Urodyn. 2024 Jan 22;43(4):893–901. doi: 10.1002/nau.25363
Construct Item Response Options Frequency of Item
Urinary Urgency How would you rate your level of urinary urgency over the last hour? Sliding scale 0-10
10 = unbearable urgency
Four times per day
Stress What is your stress level right now? Sliding scale 0-10
10 = unbearable stress
Four times per day
Negative Emotion How intense are your negative emotions right now, including things like sadness, anxiety, and anger? Sliding scale 0-10 Four times per day
Positive Emotion How intense are your positive emotions right now, including things like happiness, joy, and relaxation? Sliding scale 0-10 Four times per day
Pain Are you experiencing pain in any body area right now? Yes
No
Four times per day
If yes…
Pain Looking at the front view, which areas have pain? Body map front view If ‘Yes’ on 190, four times per day
Pain Looking at the back view, which areas have pain? Body map back view If ‘Yes’ on 190, four times per day
Pain How intense is the pain in your Buttocks area right now? Sliding scale 0-10 If marked on body map, four times per day
Pain How intense is the pain in your Back right now? Sliding scale 0-10 If marked on body map, four times per day
Pain How intense is the pain in your Hips/Legs right now? Sliding scale 0-10 If marked on body map, four times per day
Pain How intense is the pain in your Pelvis/Genitalia/Anal area right now? Sliding scale 0-10 If marked on body map, four times per day
Pain How intense is the pain in your Chest/Abdomen right now? Sliding scale 0-10 If marked on body map, four times per day
Pain How intense is the pain in your Shoulders/Arms right now? Sliding scale 0-10 If marked on body map, four times per day
Pain How intense is the pain in your Head/Neck right now? Sliding scale 0-10 If marked on body map, four times per day