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Ms affect their activities, relationships, and feelings. For each question, check the response that best describes how much your activities, relationships, or feelings have been affected by your bladder, bowel, or vaginal symptoms or conditions over the last 3 months. Please make sure you mark an answer in all 3 columns for each question. How do symptoms or conditions in the following usually affect your 1. Ability to do household chores (cooking, laundry housecleaning)? Bladder or urine Bowel.

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