Table 1.

Pelvic Pain and Urinary/Frequency (PUF) Patient Symptoms Scale

Questions	Point Scales
	0	1	2	3	4
1. How many times do you go to the bathroom during the day (times/day)?	3-6	7-10	11-14	15-19	20+
2. How many times do you go to the bathroom at night (times/night)?	0	1	2	3	4+
2a. If you get up at night to go to the bathroom, does it bother you?	Never	Occasionally	Usually	Always
3a. Do you now or have you ever had pain or symptoms during or after sexual intercourse?	Never	Occasionally	Usually	Always
3b. Has pain or urgency ever made you avoid sexual intercourse?	Never	Occasionally	Usually	Always
4. Do you have pain associated with your bladder or in your pelvis (vagina, labia, lower abdomen, urethra, perineum)?	Never	Occasionally	Usually	Always
4a. If you have pain is it usually…	Mild	Moderate	Severe
4b. Does your pain bother you?	Never	Occasionally	Usually	Always
5. Do you still have urgency after going to the bathroom?	Never	Occasionally	Usually	Always
5a. If you have urgency, is it usually…	Mild	Moderate	Severe
5b. Does your urgency bother you?	Never	Occasionally	Usually	Always