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Do you need diapers?
1: The last time you peed/pooped your pants
Today
Yesterday
Last week
Last month
Not in 1 year
Longer
2: Do you have control over your accidents
Yes
No
3: Imagine you are about to pee your pants and you have an option. You can wear diapers or wet yourself. You would
Wet myself
Wear diapers
4: What would you do if you were beginning to urinate and saw the stain forming on your pants?
Keep peeing
Cry
Change my pants
5: Do you wet your bed?
Yes
No
6: What would you do if you started wetting in bed and you were awake?
Keep wetting
Cry
Change
7: Are you wetting or pooping in your pants right now?
I'm holding it
Oh no, I'm wetting myself!
I'm pooping my pants!