Are You at Risk?

Take this brief self-assessment to see if you should meet with our Nurse Navigator regarding your pelvic floor function. If you answer “yes” to one or more of the following questions, consider having a discussion with the experts at Princeton HealthCare’s Center for Pelvic Wellness.

Please request to be contacted by submitting your information below and a member of our team will reach out to you via email or phone.

This assessment is not intended to diagnose any condition.

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Do you frequently leak urine (even a tiny amount) during ordinary activities such as jogging, sneezing, laughing, or coughing? *

Do you have difficulty "holding it" while you rush to the toilet for either a bowel movement or to urinate? *

Do you urinate more than twice during the night, even after limiting your liquid intake? *

Do you ever feel pressure in your pelvic area or feel as though something may fall through your pelvis? *

Do you experience pain during sex? *

Have you recently had a vaginal delivery, experienced severe tearing, or had a foceps-assisted delivery? *

Would you like to schedule an appointment with our Nurse Navigator? Yes
No

If yes, please provide your phone number or email address:

What is the best day of the week to contact you?

When is the most convenient time for us to contact you?

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Are You at Risk?

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