1. How old are you?
2. Have you ever had a baby?
3. Have you ever experienced bladder leaks (i.e. leaking urine) during high impact exercise (e.g. running, jumping, skipping)?
4. Have you ever experienced bowel leaks (i.e. wind or leaking faeces) during high impact exercise (e.g. running, jumping, skipping)?
5. Have you ever been worried that you might experience either bladder or bowel leaks during high impact exercise?
6. Have you ever avoided activities because of fear around bladder or bowel leaks?
7. If you have answered 'Yes' any of questions 3-6, which activity or activities are problematic?
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