Part A. During the past two weeks, how much has your pelvic or genital pain made it uncomfortable or interfered with your ability to: | |||||
1. Participate in physical activity or exercise? | ○ Not at all | ○ A little bit | ○ Moderately | ○ Quite a bit | ○ Extremely |
2. Wear the clothing or underwear you want? | ○ Not at all | ○ A little bit | ○ Moderately | ○ Quite a bit | ○ Extremely |
3. Use the toilet or wipe yourself after using the toilet? | ○ Not at all | ○ A little bit | ○ Moderately | ○ Quite a bit | ○ Extremely |
4. Sit for more than an hour? | ○ Not at all | ○ A little bit | ○ Moderately | ○ Quite a bit | ○ Extremely |