Take Our Surveys

computer typing surveysPlease, help us to better understand issues relating to quality of life (QOL) for you or someone you are caring for who has incontinence by answering one – or both – of the surveys / questions below.

Your responses are completely anonymous and will be used to help us create new educational materials.

If you would like a staff member to respond to your survey, we will need you to provide us with your email address at the end of your response. Thank you!

 

What is your biggest challenge in caring for someone who is elderly and incontinent?

We know that caring for an elderly person that is incontinent can be difficult and challenging; not only for you and your family, but also for the person you are caring for at home. If you are currently or have recently been caring for an elderly person that has urinary and/or fecal incontinence, please tell us about your experience and share your thoughts and insights into this issue.

What is your biggest challenge in caring for someone who is elderly and incontinent? Please take some time to tell us about your personal experience and provide us with your valuable insight into this issue.

Your Thoughts

Your Name (optional):

Your Email (optional):

What is your biggest challenge in dealing with your personal physician regarding your incontinence?

Sharing your challenges and history with incontinence (urinary and/or fecal) with your physician can sometimes be difficult. We would appreciate your sharing with us how your relationship with your physician has developed over time.

Has it been one of honest and open sharing?

Have you felt that your physician has made time to listen and honestly discuss options for treatment and management with you?

What has worked well? What has not?

Please take a few moments and provide us with your thoughts on the patient/physician relationship in regards to your incontinence.

Your Thoughts

Your Name (optional):

Your Email (optional):