A Florey allows you to send questionnaires out to patients to gather data. The UTI Florey Questionnaire (partnered - TARGET) is used to help gather data that would be useful to monitor a patient’s symptoms. This article details what the patient will see in the text, and what gets written to the record for their responses.

UTI Florey content

Enrolment SMS:

Hi [NAME],

I’d like you to answer some questions about your symptoms to help us to treat them most appropriately.

Please follow this link: [link will autogenerate here]

You'll need internet on your phone (or you can open the link on a computer). If you cannot open it, please contact us.

Thanks, [SENDER ID]

First page of questionnaire:

Hi [NAME],

This questionnaire from your GP practice will ask you some questions about your symptoms. It should take no longer than five minutes to complete.

Are you happy to proceed?

Powered by accuRx.

Questions

What is your date of birth?

Example 8 12 1988

  • DD MM YYYY

1. Do you have any of the following symptoms?

Choose all that apply (you can select none)

  • Discomfort or pain passing urine

  • Passing urine more frequently at night

  • Urine that is more cloudy

  • New discharge from the vagina

  • New discharge from the penis

2. Do you have any of the following symptoms?

Choose all that apply (you can select none)

  • Passing urine more frequently during the day

  • Feeling a sudden urgency to pass urine

  • Urine has visible blood in it

  • Feeling more confused

  • Discomfort or pain in the tummy

3. Do you have any of the following symptoms?

Choose all that apply (you can select none)

  • New pain in lower back

  • Nausea

  • Vomiting

  • Fever

  • Shivering

  • Other symptoms

If ‘Other symptoms’ is selected:

4. What other symptoms do you have?

Type answer here

5. How long have you had these symptoms?

  • Less than 3 days

  • 3 days - 1 week

  • 1 - 2 weeks

  • More than 2 weeks

6. What have you done to manage your symptoms?

Choose all that apply (you can select none)

  • Painkillers e.g. paracetamol

  • Antibiotics

  • Cranberry products

  • Drinking more fluids

  • Other remedies

If ‘Other symptoms’ is selected:

7. What other remedies have you tried?

Type answer here

8. Have you had a urinary tract infection before?

These are sometimes called a bladder or water infection

  • Yes - in the previous 6 months

  • Yes - in the previous year

  • Yes - in the previous 3 years

  • Yes - more than 3 years ago

  • No

9. Is there a possibility you might be pregnant?

  • Yes

  • No

10. Do you have a urinary catheter?

This is a tube that is inserted into your bladder which is used to empty the bladder and collect urine

  • Yes

  • No

Before pressing "Submit":

Are you happy with these answers?

After pressing "Submit":

Thank you for submitting your answers.

What next?

Your practice will now review the information in the next 72 hours and be in touch.

If you are feeling particularly unwell, please do not wait for a response but call the practice (or 111 if the practice is closed)

Some specific symptoms that will require your to seek urgent help are:

  • Feeling generally very unwell

  • Worsening lower back/rib pain

  • Vomiting

  • Fevers and shivering

After Completion SMS:

Thank you for completing your GP’s questions. Your answers will not be seen immediately. For urgent queries please call reception.

Response in accuRx Inbox:

Patient [NAME] has responded:

Questionnaire : UTI Questionnaire (partnered - TARGET)

Symptoms 1 :

Symptoms 2 :

Symptoms 3 :

Other symptoms :

Duration of symptoms :

Self management :

Self management (other) :

Previous UTI :

Possibility of pregnancy :

Urinary catheter :

Did this answer your question?