Professional Documents
Culture Documents
1. Name:
2. Age
3. Education
4. BMI
5. Waist circumference
6. Smoking
7. Alcohol
8. Coffee
9. Fluid intake
10.
Parity
11.
Mode of deliveries
12.
Hysterectomy
13.
Pelvic organ prolapse
14.
Vaginitis
15.
Urinary tract infections 1 in past year
16.
Diabetes
17.
Stroke
18.
Constipation
19.
Cough (COPD/ Asthma)
20.
Dementia
21.
Heart failure
22.
Medications
23.
Physical activity
24.
ADL
25.
IADL
26.
TUG
27.
Depression
28.
MMSE
29.
TYPE of INCONTINENCE
30.
Duration of incontinence
31.
Frequency once a week, once a month, less