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How old are you?
30s
40s
50s
60s
+70s
What is the most popular drink during the day?
Coffee
Tea
Water
Alchohol
Juice
Energy drinks
Soda
How much water do you drink during the day?
Less than 33 oz (1 liter)
33 - 67 oz (1 - 2 liters)
67 - 100 oz (2 - 3 liters)
More than 100 oz (+3 liters)
How often do you pee?
Every hour
Every few hours
Few times a day
Once a day
How many times do you get up during the night to pee?
I don't get up
1 time
2-3 times
More than 3 times
How physically active are you?
Not active
I take a walk sometimes
Exercising 1-2 times per week
Exercising 3-5 times per week
How healthy do you eat?
Absolutely healthy
I mostly eat healthy
I eat junk food often
Absolutely not healthy
How long do you think the liquid stays in your bladder?
1 hour
2-3 hours
3-6 hours
For a whole day
What is the biggest problem you face?
I have frequent urge to urinate
I don't feel empty after urination
I pee a lot
I have weak urine stream
It's difficult for me to urinate
I have dribbling at the end of urination
None of the above
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