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Tracking Your Bladder Symptoms

By EmpowHER
 
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Areas To Complete

Daytime voids- How many times did you go to the bathroom during waking hours?

Accidents- How many times were you unable to make it to the bathroom on time?

Nighttime voids- How many times did you wake up to use the bathroom during sleeping hours?

Urgency- How urgent was your need to rush to the bathroom during the day, 0 being no urgency and 4 being severe urgency?

Comments- Indicate variations in beverage amount or type, pad use or other information you think might be important.

Photo: Getty Images

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Urinary Incontinence

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