Instructions:
Firstly fill out your
name and then print out the Diary. Print out as many as you might need.
How to use the Diary: Each morning when you get up, start the Urine Diary and continue throughout
that day and night. This 24 hour period is One day and should be recorded in
the same column. Continue for Two full days.
Time. In this
column carefully note the time that you go to the toilet
Volume.
Measure the amount of urine you pass every time you go to the toilet and write
it in this column. Any ordinary measuring jug is suitable for this.
Wet.
If you wet yourself at any time, record the time and tick this column.
Comment. Use this
column to write down anything you think may have influenced your bladder,
e.g. cold weather, lauging, coughing, sneezing, running water, etc.
Record how much you drink
in a day (mls)
If you are unable to
measure your urine (e.g. while out shopping, visiting, or at work) then just
record the time.
