Bladder Activity Log
An accurate Bladder Activity Log gives your doctor a clearer picture of your unique situation. Try to keep your diary for at least four days before you see your doctor, and then take it with you to your appointment.
Bladder Activity Log instructions:
- Record the date and time of day when you use the toilet or have leakage.
- Record the amount of fluid you have consumed since you last voided.
- Indicate the amount voided (small, medium, large) in the “Toilet” column.
- Indicate the amount of leakage (none/damp/wet) in the “Leakage” column.
- Note your activity at the time of any leakage
- Indicate if you had an “urge” to go.
Download and print the link below for a blank Bladder Activity Log
Further Resources:
Download the Bladder Activity Log (PDF)
Our wellness continence care services are strictly intended to help individuals find better product solutions and applications to improve home management and self-care techniques and obtain basic bladder health information.
Health & Home Solutions does not provide medical advice, diagnosis or treatment for incontinence.
Our services are general in scope and provide for informational purposes only. Our wellness services should not be used as a substitute for a consultation with your doctor. Never disregard medical advice because of something you may have read or obtained from Health & Home Solutions.