As part of ICA’s efforts to create greater awareness of the hidden impacts and costs of IC/BPS, we’re conducting a survey of the IC/BPS community. Responses will be kept anonymous. Thank you for taking a moment to provide your feedback.

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* 1. How long did it take you to get an accurate IC/BPS diagnosis?

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* 2. How many doctors/healthcare providers did you ultimately have to visit to be diagnosed? (Optional: please briefly describe the process.)

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* 3. How many medical providers do you currently visit to treat/manage your IC/BPS symptoms? (Optional: please describe the different types of practitioners/specialists.)

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* 4. Roughly how much have you spent out of pocket for IC/BPS treatment over the past year? Over the course of your time with IC/BPS? (Optional: please describe the most significant expenses and if they have changed over time.)

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* 5. If you work, how many days in the past year did you lose to sick days/medical leave because of your IC/BPS symptoms? (Optional: please describe the overall impact of IC/BPS on your job/career.)

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* 6. What have been the biggest overall impacts of IC/BPS on your quality of life?

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* 7. Are you willing to be quoted and/or interviewed for the ICA Update magazine? Your information will remain anonymous if you don’t want your name printed.

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* 8. Would you like your name to remain anonymous?

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* 9. If yes, please provide your contact information below:

Thank you for taking time to provide feedback regarding the hidden impacts and costs of IC/BPS. Please click the "done" button below to submit your response.

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