What's Standing Between You & Effective Treatment? Survey

Living with bladder leakage, urgency, or other bladder symptoms can affect many aspects of daily life. While effective treatment options are available, many people face challenges getting the care, information, and support they need.

This survey is part of our effort to better understand the experiences of people living with incontinence, including the barriers they encounter when seeking care, treatment, and support. Your responses will help us identify gaps in awareness, access, and education so we can advocate for better resources and improve care for people affected by bladder health conditions. There are no right or wrong answers.

The survey should take approximately 12–15 minutes to complete.
Your voice matters — thank you for sharing your experience.

Disclaimer: Your participation in this survey is voluntary, and your responses will remain anonymous. No personally identifiable information will be collected or shared. The results of this survey may be published online and used in materials developed by the National Association for Continence (NAFC) and third parties to support patients, caregivers, and healthcare professionals. By completing this survey, you consent to the use of your anonymous responses for these purposes. For more information about our privacy practices, please visit https://nafc.org

1.Do you regularly, at least 1–2 times per week, experience any of the following? Select all that apply.(Required.)

Accidental urine leakage

Sudden, urgent need to urinate

Frequent urination during the day (i.e. more than 7 times per day)

Waking up at night to urinate

Difficulty making it to the bathroom in time

None of the above

2.Which of the following best describes the bladder or pelvic symptoms you have experienced?(Required.)

Leakage with physical activity or pressure: Urine leaks when I cough, sneeze, laugh, exercise, lift something, or make a sudden movement.

Sudden or difficult-to-control urges to urinate: I have a strong, sudden need to urinate, go to the bathroom frequently, wake at night to urinate, or sometimes leak before reaching the toilet.

Both activity-related leakage and sudden urges: I experience urine leakage with coughing, sneezing, exercise, or movement, as well as strong urges, frequent urination, or leakage on the way to the bathroom.

Pelvic pressure, heaviness, or a bulge: I feel pressure or heaviness in the pelvis, or feel or see a bulge in or near the vagina. I may also have difficulty emptying my bladder or bowel.

Bladder or pelvic pain: I experience ongoing or recurring pain, pressure, or discomfort in the bladder or pelvic area, often along with frequent or urgent urination. The discomfort may improve temporarily after urinating.

Other (please specify)

4.What is your gender?(Required.)

Female

Male

Non-binary

Prefer not to say

5.Which of the following best describes you? Select all that apply.(Required.)

Another race or ethnicity

6.What is 2+2?(Required.)