Do you need diapers?

How old are you?

under 18

18 or older

What is your gender?

Male

Female

How old were you when you were fully toilet trained during the day?

2-3

3-4

4 or older

I've never been fully toilet trained during the day.

How old were you when you were fully toilet trained at night?

2-3

3-4

5 or older

I've never been fully trained at night.

How often do you have day time "accidents?"

Never

Only once in a blue moon.

Once a year maybe?

A few times a year, not a lot.

A couple times a month, it has/is becoming a problem.

A couple times a week, I'm having issues.

Daily or multiple times daily, I have little to no control.

Always, I am fully incontinent.

Why do you think you're having these day time accidents?

I don't have accidents (why are you here? lol).

There was no bathroom readily available and I couldn't hold it.

I always hold it too long and sometimes dribble on the way to the bathroom.

I get the sudden, uncontrollable urge to go and sometimes don't make it.

Sneezing/laughing/exercising causes me to leak a little.

I typically can't feel when I have to go, it just comes out sometimes.

I am 100% incontinent.

I am on medication that causes this problem.

When/if you have accidents during the day, how bad are they typically?

I don't have accidents during the day.

Very mild, small dribbling.

Usually just a spurt or 2 if I'm really desperate.

I good bit of leakage, maybe visible on my pants.

A large amount, definitely visible.

I fully empty my bladder when I have accidents.

Do some of your accidents happen at work/school/while you're out?

Some of them

Most of them

All of them

I don't have this problem.

Do you think you would benefit from wearing diapers during the day?

I already wear diapers for daytime protection.

I sometimes wear diapers during the day, just in case.

I think I should wear diapers during the day, all day.

I probably should wear diapers all day but I don't want to.

I think I should wear diapers during the day sometimes, under special circumstances such as traveling.

I don't need/want to wear diapers during the day.

Do you have accidents at night, bedwetting?

I don't

Rarely, if I've slept too deeply or take certain medication.

Every now and then (1-2 times a month)

A few times a month, it's becoming an issue.

A few times a week, I have a 50% chance of waking up wet.

More often than not, rarely a dry night.

All the time/every night, I have no night time control.

Why do you think you're having these accidents at night?

I don't have accidents at night.

I don't go to the bathroom before bed/sleep with a full bladder.

I drink too much fluid before bed.

I drink too much alcohol (woohoo!)

I am a deep sleeper and it's hard for me to wake up.

I have poor bladder control and can't hold it while sleeping.

My body produces too much urine at night.

I am completely incontinent at night/have no control.

I am on medication that causes this problem.

Do you think you would benefit from wearing diapers at night?

I already wear diapers at night.

I sometimes wear at night, just in case.

I think I should wear diapers to bed every night.

I probably should wear diapers at night but I don't want to.

I think I should wear diapers some night, under special circumstances.

I don't think I need diapers at night.

How do you feel after you've had an accident, day or night?

Ashamed/embarrassed

Surprised/startled

Sad/upset

Angry

Happy/excited

Not surprised, I am incontinent.

I don't have accidents.

On a scale of 1-5, how badly do you think you need to wear diapers?

If you were told you needed to wear diapers how would you feel?

Sad/upset

Ashamed/embarrassed

Happy/excited

Surprised

Not surprised, I already wear them.

How much do your accidents bother you?

A lot, it severely hinders my quality of life.

They bother me quite a bit/dictate things I can and can't do.

They are a pretty big inconvenience and an embarrassment.

I don't feel one way or another about them.

I enjoy them/want more of them.

I don't have them.

If you started wearing diapers, who would you tell?

Does anyone know about your accidents? If so, what is their reaction?

They are comforting and supportive.

They don't have much of a reaction.

They are mean and judgemental about it.

They like it.

Don't have this problem.

Has anyone suggested you wear diapers to combat your problem? If so, who?

Doctor

Parents/family

Boyfriend/girlfriend

Friends

Co-workers

No one has said anything.

Alright, all done! Good luck on your results! Did you enjoy this test?

Yes

No