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1) |
Are you male or female?
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2) |
What is your age range?
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3) |
Have you ever wet your pants intentionally?
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4) |
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5) |
Which of the following best describes your experience?
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6) |
Do you experience incontinence?
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7) |
If you've unintentionally wet your pants in the past, did distraction, either from your need to go or from the task of finding somewhere to go, play a role in why it happened most receently?
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8) |
If you've wet your pants unintentionally in the past, did being stuck in a vehicle without a means to relieve yourself play a role in why it happened most recently?
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9) |
If you've wet your pants unintentionally in the past, did being stuck in one place without a way to reach a restroom of relieve yourself play a role in why it happened most recently?
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10) |
If you've wet your pants unintentionally in the past, did being restrained in place or restrained from relieving yourself by another person play a role in why it happened most recently?
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11) |
If you've wet your pants unintentionally in the past, did The length of the line for the restroom play a role in why it happened most recently?
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12) |
If you've wet your pants unintentionally in the past, did a complete lack of restroom facilities within reasonable distance play a role in why it happened most recently?
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13) |
If you've wet your pants unintentionally in the past, did your environment, such as being in the outdoors, play a role in why it happened most recently?
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14) |
If you've wet your pants unintentionally in the past, did the social dynamic, such as gender ratio play a role in why it happened most recently?
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15) |
If you've wet your pants unintentionally in the past, did fear or a startle response play a role in why it happened most recently?
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16) |
If you've wet your pants unintentionally in the past, did your degree of unwillingness to use public restrooms play a role in why it happened most recently?
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17) |
If you've wet your pants unintentionally in the past, did the uncleanliness of available restrooms and your associated unwillingness to use dirty facilities play a role in why it happened most recently?
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18) |
If you've wet your pants unintentionally in the past, did being locked out of your or another person's home play a role in why it happened most recently?
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19) |
If you've wet your pants unintentionally in the past, did being too sky to ask to use the restroom or where to find a restroom play a role in why it happened?
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20) |
If you've wet your pants unintentionally in the past, did a fastener malfunction preventing your from removing your clothing to relieve yourself normally play a role in why it happened most recently?
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21) |
If you've wet your pants unintentionally in the past, did having your hands occupied or otherwise unavailable, whatever the reason, to allow you to access the restroom or unfasten your clothing play a role in why it happened most recently?
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22) |
If you've wet your pants unintentionally in the past, did the length of time you put off or deferred seeking to relieve yourself play a role in why it happened most recently?
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23) |
If you've wet your pants unintentionally in the past, did peer pressure or other social pressure surrounding admitting your need to go play a role in why it happened most recently?
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24) |
If you've wet your pants unintentionally in the past, did inebriation or drunkenness play a role in why it happened most recently?
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25) |
If you've wet your pants unintentionally in the past, did you degree of apathy of lack of concern regarding the possibility of wetting yourself play a role in why it happened most recently?
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26) |
If you've wet your pants unintentionally in the past, did your gender's anatomical geometry play a role in why it happened most recently?
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