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* 1. Do you feel the urge to urinate frequently?

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* 2. Have you ever experienced leakage of urine when a rest room was not readily available?

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* 3. Have you ever discussed OAB or its symptoms with a doctor or medical professional?

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* 4. Which of the following apply to you? Check all that apply:

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* 5. Which of the following reasons have kept you from speaking to a medical professional about OAB symptoms? Check all that apply:

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* 6. What is your gender?

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* 7. What is your age group?

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* 8. Please enter your name and email address for a chance to win a $25 Amazon Gift Certificate!

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