How old are you

  5-10
  10-17
  18 or higher

When is the last time you peed yourself

  Today
  Yesterday
  This week
  Last week
  This month
  This year
  Not since I was little

When is the last time you pooped yourself

  Today
  Yesterday
  This week
  Last week
  This month
  This year
  Not since I was little

If you did messed/pooped yourself how much?

  Not a lot
  A little
  A little bulge in the back
  Pretty big
  So big
  Rip my pants big

Have you ever considered diapers

  Yes
  No

Do you wet or mess yourself on purpose

  Yes
  No

Do you ware pull-ups

  Yes
  No

Have you ever wet or messed in public

  Yes
  No
  A little

Did you like this test

  Yes
  No