NIH Chronic Prostatitis Symptom Index (NIH-CPSI)

In the last week have you experienced any pain or discomfort in the following areas?

Finding

Points

(1a) area between the rectum and testicles (perineum)

no

0

yes

1

(1b) testicles

no

0

yes

1

(1c) tip of the penis (not related to urination)

no

0

yes

1

(1d) below your waist, in your pubic or bladder area

no

0

yes

1

In the last week have you experienced?

Finding

Points

(2a) pain or burning during urination?

no

0

yes

1

(2b) pain or discomfort during or after sexual climax (ejaculation)?

no

0

yes

1

Item

Finding

Points

(3) How often have you had pain or discomfort in any of these areas over the last week?

never

0

rarely

1

sometimes

2

often

3

usually

4

often

5

(4) Which number best describes you AVERAGE pain or discomfort on the days that you had it, over the last week?

no pain

0

1

very mild pain

2

3

mild pain

4

5

moderate pain

6

7

severe pain

8

9

pain as bad as you can imagine

10

(5) How often have you had a sensation of not emptying your bladder completely after you finished urinating over the last week?

not at all

0

less than 1 time in 5

1

less than half the time

2

about half the time

3

more than half the time

4

almost always

5

(6) How often have you had to urinate again less than 2 hours after you finished urinating, over the last week?

not at all

0

less than 1 time in 5

1

less than half the time

2

about half the time

3

more than half the time

4

almost always

5

(7) How much have your symptoms kept you from doing the kinds of things you would usually do, over the last week?

none

0

only a little

1

some

2

a lot

3

(8) How much did you think about your symptoms, over the last week?

none

0

only a little

1

some

2

a lot

3

(9) IF you were to spend the rest of your life with your symptoms just the way they have been during the last week, how would you feel about it?

delighted

0

pleased

1

mostly satisfied

2

mixed (about equally satisfied and dissatisfied)

3

mostly dissatisfied

4

unhappy

5

terrible

6