Pelvic Health Quiz Find out if you could benefit from physical therapy. Step 1 of 8 12% I sometimes have pelvic pain (in genitals, perineum, pubic or pain with urination) that exceeds a '3' on a 1-10 pain scale, where 10 is the worst pain imaginable.(Required) Yes No I can remember falling onto my tailbone, lower back, or buttocks (even in childhood).(Required) Yes No I sometimes experience one or more of the following urinary symptoms.(Required) Yes No Accidental loss of urine Feeling unable to void within a few minutes of a previous void Pain or burning with urination Difficulty starting or frequent stopping/starting of urine stream I often or occasionally have to get up to urinate two or more times at night.(Required) Yes No I sometimes have a feeling of increased pelvic pressure or the sensation of my pelvic organs slipping down or fallingout.(Required) Yes No I have a history of pain in my low back, hip, groin, or tailbone or have had sciatica.(Required) Yes No I sometimes experience one or more of the following bowel symptoms.(Required) Yes No Loss of bowel control Feeling unable to completely empty my bowels Straining or pain with a bowel movement Difficulty initiating a bowel movement I sometimes experience pain or discomfort with sexual activity or intercourse.(Required) Yes No Sexual activity increases one or more of my other symptoms.(Required) Yes No Prolonged sitting increases my symptoms.(Required) Yes No PhoneThis field is for validation purposes and should be left unchanged.