International Consultation on Incontinence Questionnaire-Urinary Incontinence Short Form (ICIQ-UI SF)

The ICIQ-UI Short Form is a questionnaire for evaluating the frequency, severity and impact on quality of life (QoL) of urinary incontinence in men and women in research and clinical practice across the world. This short and simple questionnaire is also of use to general practitioners and clinicians in both primary and secondary care institutions to screen for incontinence, to obtain a brief yet comprehensive summary of the level, impact and perceived cause of symptoms of incontinence and to facilitate patient-clinician discussions.

Number of items: 4

Question items:

  • Frequency or urinary incontinence
  • Amount of leakage
  • Overall impact of urinary incontinence
  • Self-diagnostic item

Associated publications:
Avery K, Donovan J, Peters T, Shaw C, Gotoh M, & Abrams P. ICIQ: a brief and robust measure for evaluating the symptoms and impact of urinary incontinence. Neurourol.Urodyn. 2004; 23(4) :322-30

Level of validation according to ICI grades of recommendation:
Grade A
Validity, reliability and responsiveness established with rigour in several data sets

Suggested modules to use in conjunction:

Completion time:
A few minutes

Scoring scale:

Available languages:
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