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    International Consultation on Incontinence Questionnaire - Urinary Incontinence Short Form (ICIQ-UI Short Form)

    Author(s)
    Avery, K
    ICIQ Group
    Purpose
      Pathology:
    Urology

      Disease:
    Urinary incontinence

      Objective:
    A brief yet robust, universally-applicable, condition-specific questionnaire to assess the symptoms and impact of urinary incontinence in clinical practice and research

      Population:
    Adult
    Characteristics
      Type of instrument:
    Quality of life
    Symptom/functioning

      Mode of administration:
    Self-administered

      Number of items:
    4 items

      Existence of database:
    No

      Time recall:
    The past four weeks
     
    Language(s)
      Original language:
    English for the UK

      List of existing translations:
    (the translations may not have undergone a full linguistic validation process. Please check status of translations with Mapi Research Trust / the developers / copyright holders / distributors)

    Afrikaans*
    English for New Zealand*
    Hungarian*
    Slovak
    Arabic
    English for South Africa*
    Icelandic
    Spanish
    Bulgarian*
    English for the USA
    Italian*
    Spanish for the USA*
    Chinese
    Estonian*
    Japanese
    Swedish*
    Czech*
    Finnish*
    Norwegian
    Turkish
    Danish*
    French*
    Polish*
    Ukrainian*
    Dutch
    French for Belgium*
    Portuguese for Brazil
     
    Dutch for Belgium*
    German
    Romanian*
     
    English for Australia*
    Greek
    Russian*
     

    * translations performed by the Mapi Research Institute 

     


    Last update: October 2006
    Last update in collaboration with the author: April 2005


    Details of the questionnaire
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