Paruresis Community Demographic Survey

Thank you for your interest in completing our 14-question 2023 Paruresis demographic survey which should only take about 4 minutes to accomplish. Your participation is 100% anonymous and without obligation. The purpose of the survey is to better understand the makeup of the Paruresis community. This information will guide the IPA in supporting you and in reaching out to potential funding organizations who want to know more about our population. If you are a medical or mental health practitioner in service to the Paruresis community, please email us at getinfo@paruresis.org to receive a copy of our next professional survey when available. To all, your time is greatly appreciated!

Question Title

* 1. Describe the severity of your Paruresis/Shy Bladder Syndrome Symptoms

I don't suffer from Paruresis/Shy Bladder Syndrome

My symptoms are mild

My symptoms are moderate

My symptoms are severe