90 Years of Compassionate Care

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Questionnaires

Questionnaires

If you are being seen for any of the problems below, please print and complete the appropriate questionnaires and give to the front desk at your appointment. This will help us learn more about your problem and provide us a baseline such that we can track your response to treatment.

Adrenal Nodule

Bladder Satisfaction Survey

Erectile Dysfunction (SHIM)

Erectile Dysfuntion Evaluation

Fluid Diary

Fertility Evaluation

Kidney Stone Questionnaire

Low Testosterone (hypogondism)

Pediatric Hematuria (Blood in the Urine in Children)

Prostate Symptom Score Sheet IPSS/AUASS

Prostatitis: NIH Chronic Prostatitis Symptom Score 

Recurrent Urinary Tract Infection in Women

Urinary Distress and Impact

Urinary History

In The News

Dr. Gary Fialk Joins The Urology Group
Join us in welcoming Gary S. Fialk, M.D. to The Urology Group. Learn more about the wealth of experience and expertise Dr. Fialk brings to our practice.
The Urology Group will host 2019 Tee-Off Against Prostate Cancer
Come join us at TopGolf Loudoun for a fun and meaningful community event. Anyone can play TopGolf and proceeds will go toward ending prostate cancer!
The Urology Group's Mari Parker, FNP-C publishes chapter in Men's Health Manual
Join us in congratulating Mari on her chapter on "A Brief Discussion of Issues in Men's Health Seeking" found in this practice guide for APRNs and PAs.