Get Voiding Diary Questionnaire - Penn State Hershey - Pennstatehershey

The Voiding Diary Questionnaire is an essential tool used to assess bladder and bowel health in children. This guide provides clear, step-by-step instructions to help users efficiently fill out the form online, ensuring all relevant information is captured accurately.

Follow the steps to successfully complete the Voiding Diary Questionnaire

1. Press the ‘Get Form’ button to access the Voiding Diary Questionnaire and open it in your preferred online editor.
2. Begin by filling out the initial section regarding your child's problem. Answer the question regarding the problem type and provide detailed information in the space provided.
3. Indicate whether your child has received treatment for the issue. If applicable, elaborate on the treatment received in the provided field.
4. Answer whether any tests have been conducted to evaluate the problem. If yes, list the tests completed in the designated area.
5. Complete the surgery section by indicating if your child has had any bladder or bowel surgeries, and detail the procedures if applicable.
6. List your child's current medications and any known allergies in the respective sections provided.
7. Document the timeline of your child's toilet training progress, including the ages at which they achieved bowel and urinary control.
8. Respond to behavioral inquiries related to urination, bowel movements, and any occurrences of urinary tract infections by checking the appropriate responses.
9. Complete the three-day voiding diary section by logging urination and bowel movement activities, following the specified time slots.
10. After filling out the form, review all entries for accuracy. Once satisfied, you can save changes, download, print, or share the form as required.

Start today by filling out the Voiding Diary Questionnaire online to support your child's health journey.