Urology Study Pre-screener SIS International is conducting a study with urology patients. There is a $150 Amazon gift card incentive after the successful completion of a 60 minute zoom interview. Please take the prescreener below to see if you qualify OK Question Title * 1. Address Name Social media/ Linkedin (to confirm your profile) City/Town Country Email Address Phone Number OK Question Title * 2. Which of the following best describes you? Patient who is more than 18 years old Guardian or caretaker of patient who is more than 18 years old Guardian or caretaker of patient who is a minor None of the above OK Question Title * 3. What is your age? 45 years or younger [n<4] 46-60 years 61-75 years 75 years or older OK Question Title * 4. Which of following conditions have you been diagnosed with? Kidney Stones Overactive Bladder Urinary Stress Incontinence Fecal Incontinence Urinary Tract Infections None of the above OK Question Title * 5. How severe is your Overactive Bladder? I do not have sudden, uncontrolled urges to urinate, nor do I experience leaks I have a sudden, uncontrolled urge to urinate weekly, but do not experience leaks I have a sudden, uncontrolled urge to urinate daily, but do not experience leaks I experience leaked urine monthly, in addition to feeling sudden, uncontrolled urges to urinate I experience leaked urine weekly, in addition to feeling sudden, uncontrolled urges to urinate I experience leaked urine daily, in addition to feeling sudden, uncontrolled urges to urinate I used to have symptoms, but my treatment effectively manages these symptoms OK Question Title * 6. Do you see a Urologist or Urogynecologist annually (or more often)? Yes, I see a Urologist Yes, I see a Urogynecologist No, I do not OK Question Title * 7. Where do you currently reside? Personal Residence (e.g. home, apartment, etc.) [preferential recruitment] Nursing home Elderly care community OK Question Title * 8. How long ago were you diagnosed with overactive bladder? <6 months ago 6 months – 1 year ago 1-3 years ago 3-7 years ago >7 years ago I have not been diagnosed with overactive bladder OK Question Title * 9. Which of the following treatments have you received for overactive bladder? Botox injections Sacral nerve stimulator implant Peripheral tibial nerve stimulation Physical therapy I am currently using prescribed medication None I do not know I have not been diagnosed with overactive bladder OK Question Title * 10. When did you most recently receive a Botox injection, sacral nerve stimulator implant, or peripheral tibial nerve stimulation? <3 months ago 3-6 months ago 6-12 months ago 1-2 years ago 2-3 years ago >3 years ago OK Question Title * 11. Are you willing and able to speak about your experiences and treatments received for overactive bladder? Yes No OK DONE
