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. Author manuscript; available in PMC: 2016 May 1.
Published in final edited form as: J Urol. 2014 Nov 13;193(5):1554–1558. doi: 10.1016/j.juro.2014.11.016

Table 1. Pain, Urgency, Frequency, and Severity Scales.

Symptom Severity Scales
Pain, Urgency, Frequency Severity Scales
1. Think about the pain, pressure, and discomfort associated with your bladder/prostate and/or pelvic region. On
 average, how would you rate these symptoms during the past 2 weeks?
No pain or
pressure or
discomfort
Most severe
discomfort
I can imagine

0 1 2 3 4 5 6 7 8 9 10

2. Urgency is defined as the urge or pressure to urinate. On average, how would you rate the urgency that you have
 felt during the past 2 weeks?
No urgency Most severe
urgency
I can imagine

0 1 2 3 4 5 6 7 8 9 10

3. Think about your frequency of urination. On average, how would you rate your frequency of urination during the
 past 2 weeks?
Totally
normal
Most severe
frequency
I can imagine

0 1 2 3 4 5 6 7 8 9 10

Urologic or Pelvic Pain Symptom Severity Scales
5. Please rate the overall severity of your UROLOGIC OR PELVIC PAIN SYMPTOMS over the past 2 weeks:
No
Symptoms
Symptoms as bad
as they can be

0 1 2 3 4 5 6 7 8 9 10