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Expanded Prostate Cancer Index Composite for Clinical Practice (EPIC-CP)

Please answer the following questions by choosing the appropriate options. All questions are about your health and symptoms in the LAST FOUR WEEKS.
1. Overall, how much of a problem has your urinary function been for you?
No problem
Very small problem
Small problem
Moderate problem
Big problem
2. Which of the following best describes your urinary control?
Total control
Occasional dribbling
Frequent dribbling
No urinary control
3. How many pads or adult diapers per day have you been using for urinary leakage?
None
One pad per day
Two pads per day
Three or more pads per day
4. How big a problem, if any, has urinary dripping or leakage been for you?
No problem
Very small problem
Small problem
Moderate problem
Big problem
5. How big a problem, if any, has each of the following been for you?
No problem
Very small problem
Small problem
Moderate problem
Big problem

No problem
Very small problem
Small problem
Moderate problem
Big problem

No problem
Very small problem
Small problem
Moderate problem
Big problem
6. How big a problem, if any, has each of the following been for you?
No problem
Very small problem
Small problem
Moderate problem
Big problem

No problem
Very small problem
Small problem
Moderate problem
Big problem

No problem
Very small problem
Small problem
Moderate problem
Big problem
7. How would you rate your ability to reach orgasm (climax)?
Very good
Good
Fair
Poor
Very poor to none
8. How would you describe the usual quality of your erections?
Firm enough for intercourse
Firm enough for masturbation and foreplay only
Not firm enough for any sexual activity
None at all
9. Overall, how much of a problem has your sexual function or lack of sexual function been for you?
No problem
Very small problem
Small problem
Moderate problem
Big problem
10. How big a problem, if any, has each of the following been for you?
No problem
Very small problem
Small problem
Moderate problem
Big problem

No problem
Very small problem
Small problem
Moderate problem
Big problem

No problem
Very small problem
Small problem
Moderate problem
Big problem