CELLEBRATE: Stress Urinary Incontinence Study
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Frequently Asked Questions
About Research Studies
Do I Pre-Qualify?
Pre-Screening Questions
Your information will not be sold or shared with third parties for their own separate use.
1. How did you hear about us?
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2. What is your date of birth?
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3. Please enter your height and weight so we can estimate your BMI:
Height (feet, inches)
ft.
in.
Weight (lbs.)
4. It is important that you do not become pregnant during the course of the study. If asked to do so by study personnel, would you be willing to use an acceptable method of birth control or remain abstinent for the duration of the study? Acceptable methods of birth control will be explained by the study coordinator.
I am currently pregnant, planning a pregnancy, or breastfeeding
Yes, I am willing to use an acceptable method of birth control or remain abstinent during the study
No, I am not willing to use an acceptable method of birth control or remain abstinent during the study
Not Applicable
5. How many times per day do you experience urine leakage on effort or exertion, or on sneezing or coughing?
None
1
2
3
More than 3
6. Have you previously tried pelvic floor muscle training, also known as PFMT? PFMT is when you squeeze certain muscles to strengthen the muscles of the pelvic floor. Some people refer to these as Kegel exercises.
Yes
No
Unsure
7. Have you had surgical intervention in the pelvic area (e.g., surgery for stress urinary incontinence, mesh removal, prolapse surgery) in the last 6 months?
Yes
No
8. Have you ever received botulinum toxin treatment for your incontinence?
Yes
No
Unsure