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Com. Include the web site and filename in your message. MIST2 Form BLAD Bladder Function version November 9 2006 Participant ID 3 digits Visit ID S02 W12 M12 one record per visit RELEASEID VISITID In the past month how often 1. Persons using assistive technology may not be able to fully access information in this file. For assistance e-mail niddk-cr imsweb. Did you have to rush to the toilet to urinate never occasionally sometimes most of the time BLRUSH all of the time 2. Did urine leak before you could get to the toilet BLLEAKTO 4. Did you leak for no obvious reason and without feeling that you wanted to go 5. Did you leak urine when you were asleep BLLEAKAS 6. Did you have a slight wetting of your pants a few minutes after you had finished urinating BLWET If you had to spend the rest of your life with your urinary or bladder function just the way it is now how would you feel about that 1 very satisfied moderately satisfied about equally satisfied and dissatisfied moderately dissatisfied BLSPEND. Did you have to rush to the toilet to urinate never occasionally sometimes most of the time BLRUSH all of the time 2. Did urine leak before you could get to the toilet BLLEAKTO 4. Did you leak for no obvious reason and without feeling that you wanted to go 5. Did urine leak before you could get to the toilet BLLEAKTO 4. Did you leak for no obvious reason and without feeling that you wanted to go 5. Did you leak urine when you were asleep BLLEAKAS 6. Did you have a slight wetting of your pants a few minutes after you had finished urinating BLWET If you had to spend the rest of your life with your urinary or bladder function just the way it is now how would you feel about that 1 very satisfied moderately satisfied about equally satisfied and dissatisfied moderately dissatisfied BLSPEND. Did you have to rush to the toilet to urinate never occasionally sometimes most of the time BLRUSH all of the time 2. Did urine leak before you could get to the toilet BLLEAKTO 4. Did you leak for no obvious reason and without feeling that you wanted to go 5. Did you leak urine when you were asleep BLLEAKAS 6. Did you have a slight wetting of your pants a few minutes after you had finished urinating BLWET If you had to spend the rest of your life with your urinary or bladder function just the way it is now how would you feel about that 1 very satisfied moderately satisfied about equally satisfied and dissatisfied moderately dissatisfied BLSPEND.

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