Digital IPSS questionnaire

<span id="hs_cos_wrapper_name" class="hs_cos_wrapper hs_cos_wrapper_meta_field hs_cos_wrapper_type_text" style="" data-hs-cos-general-type="meta_field" data-hs-cos-type="text" >Digital IPSS questionnaire</span>

Free template

Digital IPSS questionnaire

Send the IPSS questionnaire digitally to your patients. With Coflow, they answer on their phone or computer before their appointment, with no app and no login.

The symptom score is totalled the moment they submit and banded mild, moderate or severe, with quality of life scored on its own. The scores are waiting for you on the task, and responses write back to your practice management system.

Stored in Australia
No patient app or login
Scored automatically
Writes back to your PMS

Try the digital IPSS

Coflow forms are flexible and mobile responsive. Patients fill it in on any phone or computer, with no app and no login. Scored forms are scored automatically when the patient submits.

ipss.pdfPage 1 of 2Download

IPSS

Preview only. Nothing you choose is saved or sent.

Step 1 of 2

Urinary symptoms

The following questions ask about your urinary symptoms over the past month. Please choose the answer that best describes each one.

Over the past month, how often have you had a sensation of not emptying your bladder completely after you finished urinating?
Over the past month, how often have you had to urinate again less than two hours after you finished urinating?
Over the past month, how often have you found you stopped and started again several times when you urinated?
Over the past month, how often have you found it difficult to postpone urination?
Over the past month, how often have you had a weak urinary stream?
Over the past month, how often have you had to push or strain to begin urination?
Over the past month, how many times did you most typically get up to urinate from the time you went to bed at night until the time you got up in the morning?

Send the IPSS digitally

Patients answer on their phone or computer before they arrive, with no app or login. Coflow sends a reminder if they don’t finish, scores it the moment they submit, and files it into your PMS.

  • Scored automatically
  • Automatic reminders
  • Writes back to your PMS
Book a demo

We’ll show you the IPSS in Coflow and set it up with you.

Start with the free PDF

We’ll email you the printable IPSS and its scoring guide, plus a few ideas for moving your questionnaires online when you’re ready.

Form title

Writes back to
  • Gentu
  • MediRecords
  • Halaxy
  • and more: Nookal and Cliniko

Ready to send your forms digitally?

Book a demo and we’ll show you how Coflow sends forms by SMS or email, collects e-signatures and files answers into your practice management software.