IncontiMed Checklist™

The First step in an effective treatment program is to learn more about you. One way to beginis through the IncontiMed Checklist. This computer based questionaire asks a series of

targeted questions designed to collect information on possible causes & types of incontinence.

The questions are presented in a yes / no format. This intelligent software tracks your responses& skips unnecessary items. The IncontiMed Checklist gives your healthcare provider a

detailed report covering these standard questions. This allows more time for a personalfollow-up on symptoms & issues that are important to you.

Easy Yes / No Questions

See Results in Graph Format

Stress Level in Daily LivingDue to Incontinence

The IncontiMed Checklist can be added to an existing NeuroDynamix software system and called from the main software menu or may be purchased as a stand-alone application

that does not require a NeuroDynamix instrument.

IncontiMed Checklist Features:

• Runs on any Windows Based PC• Self Administered• Easy Yes / No Questions• Detailed Cause Groups• Symptom Grouping• Summary Cause Groups• Stress Level in Daily Living Due to Incontinence

Consists of Items Designed to Highlight Possible:

• Cause of Incontinence• Type of Incontinence

The IncontiMed Checklist is not a medical device & administration of the checklistis not intended to provide a diagnosis.