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* 1. Do you suffer from incontinence?

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* 2. Are you male or female?

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* 3. How old are you?

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* 4. Would you feel comfortable talking to your doctor about incontinence issues?

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* 5. Would you feel comfortable discussing incontinence issues with your peers?

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* 6. Would you consider Incontinence to be a taboo subject?

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* 7. Do you think increasing your fluid intake would make incontinence worse or better?

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* 8. Which of the below types of drinks can make incontinence worse?

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* 9. Does anyone in your family suffer from incontinence?

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