{"id":"3","user_id":1,"uid":"0f61dee2-d703-46f5-8c38-b6e6097eb282","name":"THE AUA SYMPTOM SCORE INDEX \/ BPH SYMPTOM QUIZ","description":"","sections":[{"uid":"2006998c-3dca-4443-8208-348dec167429","title":"THE AUA SYMPTOM SCORE INDEX\/\rBPH SYMPTOM QUIZ","description":"","blocks":[{"typeId":"content:paragraph","uid":"7d36c388-2b4d-4ae5-9e01-90a2284ae2b8","title":"","description":"","category":"content","content":{"value":"You can use the following American Urological Association (AUA) BPH Symptom Score Index to evaluate your enlarged prostate symptoms. Simply click the most accurate answer for each question. Your total score is calculated after you click the submit button, and you can use it to help determine the severity of your symptoms.<br><br>Scoring Key: 0 Indicates not at all; 1 Indicates less than 1 in 5; 2 Indicates less than half the time; 3 Indicates about half the time; 4 Indicates more than half the time; 5 Indicates almost always.","type":"paragraph","options":{"alignment":"justify"},"value_raw":[{"type":"paragraph","children":[{"text":"You can use the following American Urological Association (AUA) BPH Symptom Score Index to evaluate your enlarged prostate symptoms. Simply click the most accurate answer for each question. Your total score is calculated after you click the submit button, and you can use it to help determine the severity of your symptoms."}]},{"type":"paragraph","children":[{"text":""}]},{"type":"paragraph","children":[{"text":"Scoring Key: 0 Indicates not at all; 1 Indicates less than 1 in 5; 2 Indicates less than half the time; 3 Indicates about half the time; 4 Indicates more than half the time; 5 Indicates almost always."}]}]},"title_raw":"","translations":[]},{"typeId":"question:dropdown","uid":"6f02e95a-20d9-4616-80d8-2c8f7d329138","title":"1. Over the past month, how often have you had a feeling of not emptying your bladder completely after you finished urinating?","description":"","category":"question","field":{"type":"dropdown","uid":"6f02e95a-20d9-4616-80d8-2c8f7d329138","options":{"choices":[{"uid":"94288946-d5cf-42f7-9614-03f78d09ed4e","label":"0"},{"uid":"c1c085d9-581a-4eb2-9371-99fdf0039ae4","label":"1"},{"uid":"dd3fcd5a-f56d-4370-93d1-fe477a437ced","label":"2"},{"uid":"6e8a90ab-7b1b-488b-ada3-5fc7429c155f","label":"3"},{"uid":"7df5c44e-d2d8-422c-8c66-4825e934a1c2","label":"4"},{"uid":"e5557df8-4449-4672-b1d9-3aa202e8f3fc","label":"5"}],"placeholder":"Choose","defaultValue":"94288946-d5cf-42f7-9614-03f78d09ed4e"},"validations":{"required":{"enabled":true,"options":{},"messages":[]}}},"title_raw":[{"type":"paragraph","children":[{"text":"1. Over the past month, how often have you had a feeling of not emptying your bladder completely after you finished urinating?"}]}],"translations":[]},{"typeId":"question:dropdown","uid":"d8992f0c-442b-4be3-abc3-2237f42d56d8","title":"2. Over the past month, how often have you had to urinate again less than two hours after you finished urinating?","description":"","category":"question","field":{"type":"dropdown","uid":"d8992f0c-442b-4be3-abc3-2237f42d56d8","options":{"choices":[{"uid":"5db2bb40-3543-42b4-ac4e-df6c95573b96","label":"0"},{"uid":"548e14b1-9ff5-411f-9574-fb320894a586","label":"1"},{"uid":"3436204c-e361-4b13-a7f6-38fbde799f6b","label":"2"},{"uid":"00f0a1f3-567c-4efb-8c28-fe0dd5f44de1","label":"3"},{"uid":"25f2f45f-a703-4e5d-8e3e-acc6b76b1df1","label":"4"},{"uid":"968d70b8-2692-44fe-83e6-c016986e2e75","label":"5"}],"placeholder":"Choose","defaultValue":"5db2bb40-3543-42b4-ac4e-df6c95573b96"},"validations":{"required":{"enabled":true,"options":{},"messages":[]}}},"title_raw":[{"type":"paragraph","children":[{"text":"2. Over the past month, how often have you had to urinate again less than two hours after you finished urinating?"}]}],"translations":[]},{"typeId":"question:dropdown","uid":"5e42badc-576b-40a5-a755-4094c01a6fdd","title":"3. Over the past month, how often have you stopped and started again several times when you urinated?","description":"","category":"question","field":{"type":"dropdown","uid":"5e42badc-576b-40a5-a755-4094c01a6fdd","options":{"choices":[{"uid":"314bc43b-7965-4590-8251-240fd48e23f6","label":"0"},{"uid":"d1b29818-ca08-49ee-bf67-9d59f2204e62","label":"1"},{"uid":"bb171d92-26dd-4e60-bd5b-58e72a789b9f","label":"2"},{"uid":"c293d6dd-bd03-4831-bdd3-2bd57ddaa325","label":"3"},{"uid":"d42c29f2-6824-43f7-97de-6c06d5e30f5f","label":"4"},{"uid":"8847f85f-9e3e-4fee-856b-7d0cd1692eb5","label":"5"}],"placeholder":"Choose","defaultValue":"314bc43b-7965-4590-8251-240fd48e23f6"},"validations":{"required":{"enabled":true,"options":{},"messages":[]}}},"title_raw":[{"type":"paragraph","children":[{"text":"3. Over the past month, how often have you stopped and started again several times when you urinated?"}]}],"translations":[]},{"typeId":"question:dropdown","uid":"d201b085-1cdc-46ee-b874-99d6eaa846bc","title":"4. Over the past month, how often have you found it difficult to postpone urination?","description":"","category":"question","field":{"type":"dropdown","uid":"d201b085-1cdc-46ee-b874-99d6eaa846bc","options":{"choices":[{"uid":"6b5e2580-3d43-436d-96ef-53f6de61c495","label":"0"},{"uid":"44b09835-d744-4598-9fa3-f494860247e4","label":"1"},{"uid":"5262d86b-8051-4ea2-804c-3b0b3867ccc8","label":"2"},{"uid":"e9a444ae-9e5e-46a1-b937-ff4fbe023b6f","label":"3"},{"uid":"32c8adae-b987-4190-9cc9-032227a89e6a","label":"4"},{"uid":"454f9700-53d1-4452-b74d-e050c9af2659","label":"5"}],"placeholder":"Choose","defaultValue":"6b5e2580-3d43-436d-96ef-53f6de61c495"},"validations":{"required":{"enabled":true,"options":{},"messages":[]}}},"title_raw":[{"type":"paragraph","children":[{"text":"4. Over the past month, how often have you found it difficult to postpone urination?"}]}],"translations":[]},{"typeId":"question:dropdown","uid":"2ec68e73-a72f-4d4c-95f5-3ba0968cbe5c","title":"5. Over the past month, how often have you had a weak urinary stream?","description":"","category":"question","field":{"type":"dropdown","uid":"2ec68e73-a72f-4d4c-95f5-3ba0968cbe5c","options":{"choices":[{"uid":"df7c3929-75c2-4c0e-9d77-dd6c84aec078","label":"0"},{"uid":"a7b82227-09e8-4798-858e-dc2a7e11077a","label":"1"},{"uid":"d26121f0-95ac-4798-8968-99995e2942ee","label":"2"},{"uid":"9a28b136-b90f-4017-9304-d1cb4263f862","label":"3"},{"uid":"0f89f937-879c-4e97-8708-64bf3fb3f841","label":"4"},{"uid":"c3dbfbe6-1ad3-415e-85d0-1154435d3567","label":"5"}],"placeholder":"Choose","defaultValue":"df7c3929-75c2-4c0e-9d77-dd6c84aec078"},"validations":{"required":{"enabled":true,"options":{},"messages":[]}}},"title_raw":[{"type":"paragraph","children":[{"text":"5. Over the past month, how often have you had a weak urinary stream?"}]}],"translations":[]},{"typeId":"question:dropdown","uid":"99b0053e-42bb-47e2-ab33-a1f322f58cdd","title":"6. Over the past month, how often have you had to push or strain to begin urination?","description":"","category":"question","field":{"type":"dropdown","uid":"99b0053e-42bb-47e2-ab33-a1f322f58cdd","options":{"choices":[{"uid":"b5376b97-ddfa-42e2-9df6-67050c347025","label":"0"},{"uid":"d5425bfd-2475-4f87-ae33-3c4e914b14db","label":"1"},{"uid":"7ecc7409-367b-4ab7-b9ec-e0865922328b","label":"2"},{"uid":"329f3310-bb97-4196-b8e8-367e20b351c9","label":"3"},{"uid":"5884d481-778b-4d3c-ab53-12e15aef4793","label":"4"},{"uid":"08619700-3512-4048-9e86-90e26cf18ddc","label":"5"}],"placeholder":"Choose","defaultValue":"b5376b97-ddfa-42e2-9df6-67050c347025"},"validations":{"required":{"enabled":true,"options":{},"messages":[]}}},"title_raw":[{"type":"paragraph","children":[{"text":"6. Over the past month, how often have you had to push or strain to begin urination?"}]}],"translations":[]},{"typeId":"question:dropdown","uid":"13d30369-bdaa-4869-8b1e-60bb7df18f05","title":"7. Over the past month, how many times did you usually get up to urinate from the time you went to bed at night until the time you got up in the morning?","description":"","category":"question","field":{"type":"dropdown","uid":"13d30369-bdaa-4869-8b1e-60bb7df18f05","options":{"choices":[{"uid":"1b9c8230-7634-486f-a67a-04fc2de20cfd","label":"0"},{"uid":"07068e30-2a08-4b86-9bab-60b8904df6e9","label":"1"},{"uid":"72609045-b4f7-48d4-970b-45c14a567738","label":"2"},{"uid":"a9dc4931-7d37-4922-9fa0-2babab8db89d","label":"3"},{"uid":"073852c3-3ffe-4c22-8101-47cd8fdd5af0","label":"4"},{"uid":"f31c4372-7c5a-4266-b83d-bc24c359feaf","label":"5"}],"placeholder":"Choose","defaultValue":"1b9c8230-7634-486f-a67a-04fc2de20cfd"},"validations":{"required":{"enabled":true,"options":{},"messages":[]}}},"title_raw":[{"type":"paragraph","children":[{"text":"7. Over the past month, how many times did you usually get up to urinate from the time you went to bed at night until the time you got up in the morning?"}]}],"translations":[]},{"typeId":"content:paragraph","uid":"0d27d7e1-2e3a-4996-9778-632b3023b1d2","title":"","description":"","category":"content","content":{"value":"Your doctor evaluates your symptoms by \u201cscoring\u201d your answers to a standard set of questions, called a Symptom Score Index. Your score will be between 0 and 35 points. Finding out whether your symptoms are mild (0 to 7), moderate (8 to 19), or severe (20 to 35) will help your doctor determine the best treatment for you.","type":"paragraph","options":{"alignment":"justify"},"value_raw":[{"type":"paragraph","children":[{"text":"Your doctor evaluates your symptoms by \u201cscoring\u201d your answers to a standard set of questions, called a Symptom Score Index. Your score will be between 0 and 35 points. Finding out whether your symptoms are mild (0 to 7), moderate (8 to 19), or severe (20 to 35) will help your doctor determine the best treatment for you."}]}]},"title_raw":"","translations":[]}],"action":"next","next_section_uid":null,"conditions":[],"translations":[],"index":0},{"uid":"696b3653-4054-4221-994b-90610a856268","title":"Last step: enter your email to see your results.","description":"","blocks":[{"typeId":"content:paragraph","uid":"6cfa80f4-80db-4ec6-b15e-bd3df79d08cc","title":"","description":"","category":"content","content":{"value":"We\u2019ll send you a full summary of your quiz results, helpful information about BPH, and resources for when you\u2019re ready to talk to a doctor about your treatment options.<br><br>This form is intended for residents of United States only.","type":"paragraph","options":{"alignment":"start"},"value_raw":[{"type":"paragraph","children":[{"text":"We\u2019ll send you a full summary of your quiz results, helpful information about BPH, and resources for when you\u2019re ready to talk to a doctor about your treatment options."}]},{"type":"paragraph","children":[{"text":""}]},{"type":"paragraph","children":[{"text":"This form is intended for residents of United States only."}]}]},"title_raw":"","translations":[]},{"typeId":"question:text","uid":"a3790f12-759e-4ee1-9975-e45ff0e2ab6a","title":"First Name","description":"","category":"question","field":{"type":"text","uid":"a3790f12-759e-4ee1-9975-e45ff0e2ab6a","options":{},"validations":{"required":{"enabled":true,"options":{},"messages":[]},"email":{"enabled":false,"options":{},"messages":[]},"minLength":{"enabled":false,"options":{"value":0},"messages":[]},"maxLength":{"enabled":false,"options":{"value":0},"messages":[]}}},"title_raw":[{"type":"paragraph","children":[{"text":"First Name"}]}],"translations":[]},{"typeId":"question:text","uid":"8383f9bc-96ce-410e-bda8-0ed79d7df134","title":"Last 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