Nocturia
questionnaire
To see how Nocturia is affecting you COMPLETE, PRINT and TAKE WITH YOU when you visit your healthcare professional.
INFORMATION FOR HEALTHCARE PROFESSIONALS ONLY
0-8 overall score with greater values indicating increased symptom severity.
Bother scales are not incorporated in the overall score, but indicate impact of individual symptoms for the patient.
*Calculated by adding the scores of questions 3a and 4a
Reclaim your night.
Re-energise your day.
Nocturia is usually easy to treat, so if your night-time bathroom trips are affecting your day to day life, it’s time to talk to your healthcare professional. Together, you and they may be able to determine the cause of your Nocturia and decide on the best treatment option so that you can reclaim your nights and re-energise your days.
TALK TO YOUR DOCTOR TO
DISCUSS YOUR SYMPTOMS
AND TREATMENT OPTIONS