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Florey: Questions for UTI questionnaire (partnered - TARGET)
Florey: Questions for UTI questionnaire (partnered - TARGET)

This article lists the questions and codes used in the UTI Florey Questionnaire

Harry avatar
Written by Harry
Updated over a week ago

What does this Florey do?

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.

💬 Enrolment SMS:

Once the patient has accessed the link, they will be prompted to enter their date of birth in order to access the questionnaire 📆

Questions:

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 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

When they have submitted their answers they will be thanked for completing the survey and sent a confirmation SMS 👇

Response in the Accurx Desktop toolbar: UTI Team 👇

Please then select the save to record button if you wish for these results to be saved to the patient's medical record 📚

If you still have any questions or concerns, feel free to chat with us using the green message bubble in the bottom right-hand corner of this page. 👉

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