Table 2.

Urine quality assessment survey

Subject ID # ___________	Date: ________________
This assessment is to characterize any CHANGE you have noticed in your urine since starting study medication.
1 = much worse
2 = slightly worse
3 = about the same
4 = slightly improved
5 = much improved
How would you rate: please circle your choice.
1. The CLARITY of your urine (how clear your urine is)?	1	2	3	4	5
2. The ODOR of your urine?	1	2	3	4	5
3. The COLOR of your urine?	1	2	3	4	5
4. The amount of SEDIMENT (debris) in your urine?	1	2	3	4	5
5. Your OVERALL SATISFACTION with your urine?	1	2	3	4	5