1)
Have you accidentally wet your pants when you were a kid (5-12 yrs old)?
Yes, but only a little. There was no visible wet spot.
Yes, but not a lot. There was a visible wet spot, but it was small.
Yes, I did. There was a noticable wet spot, but my pants weren't fully soaked
Yes, my pants were fully soaked.
Yes, but I was wearing some kind of diаper.
No
2)
Have you ever wet your pants as a teenager? (13-18 yrs old)
Yes, but only a little. There was no visible wet spot.
Yes, but not a lot. There was a visible wet spot, but it was small.
Yes, I did. There was a noticable wet spot, but my pants weren't fully soaked
Yes, my pants were fully soaked.
Yes, but I was wearing some kind of diаper.
No
I'm not a teenager yet
3)
Have you ever accidentally wet your pants as an adult? (19+)
Yes, but only a little. There was no visible wet spot.
Yes, but not a lot. There was a visible wet spot, but it was small.
Yes, I did. There was a noticable wet spot, but my pants weren't fully soaked
Yes, my pants were fully soaked.
Yes, but I was wearing some kind of diаper.
No
I'm not an adult yet
4)
5)
How many times have you fully wet your pants since potty trained? (but not completely soaked)
0
1
2
3
4
5
6
7
8+
6)
How many times have you completely soaked your pants since potty trained?
0
1
2
3
4
5
6
7
8+
7)
Do you suffer from some sort of incontinence?
Yes, it runs in the family.
Yes, I was born with it and don't know why.
Yes, it happened because of something in my life.
No
8)
Have you wet your pants because you couldn't make it to the bathroom?
Yes, I thought I could hold it, but failed
Yes, I had to hold it but failed
Yes, I had to hold it and gave up.
Yes, I possibly could have held it, but just gave up.
Yes, other.
No, I made it with a wet spot.
No, I almost didn't make it.
No, I haven't had any close calls.
9)
Have you wet your pants because you were scared?
Yes, I was experiencing a form of horror entertainment. (Movie/game/haunted hourse)
Yes, I was scared by something in real life.
Yes, I was shocked by something in real life.
Yes, other.
No, but I wet myself a little.
No
10)
Have you wet the bed?
Yes, always.
Yes, often.
Yes, sometimes.
Yes, rarely.
Yes, once or twice.
Not since I was a child
Not that I remember/never
11)
On a scale of 1-8 how severe was your worst accident?
1
2
3
4
5
6
7
8
I haven't had an accident!
12)
On a scale of 1-8, how desperate were you for your worst accident?
1
2
3
4
5
6
7
8
I don't remember/haven't had an accident
13)
On a scale of 1-8, how embarrassing was your worst accident?
1
2
3
4
5
6
7
8
It wasn't embarassing/I haven't had an accident
14)
How strong is your bladder?
I have no bladder control
I have a very weak bladder, and need to use the restroom a lot
I have a weaker than average bladder, and use the restroom a little more than other people
I have an average bladder
I have a strong bladder, and I usually use the restroom last
I have a very strong bladder, and use the restroom very scarcely, and can hold it for very long
