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Part 1 (5 Minutes)

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* 1. What is your name?

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* 2. How old are you?

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* 3. How many years have you had incontinence?

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* 4. How many urge incontinence accidents/incidents do you have a WEEK? (leaks due to sudden urge to use the toilet)

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* 5. How many stress incontinence accidents/incidents do you have a WEEK? (accidents due to coughing, movement, etc)

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* 6. How many absorbent pads do you typically go through in a day?

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* 7. List ongoing therapies to treat your incontinence (if any).

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* 8. How do you currently manage your incontinence symptoms (e.g. absorbent pads, frequent bathroom visits, diet)

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* 9. Have you previously tried Kegel exercises to treat your incontinence?

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