Mens Program

Men's Incontinence Program

Men's Incontinence Survey

Please take this short survey below to tell Emily more about your symptoms, goals, and concerns about incontinence treatment through exercise.

Describe your incontinence symptoms: *

How long have you had these symptoms? *

How frequently do you urinate during the day? (Example—every hour or once every 2-3 hours) *

How many times on average do you wake up at night to use the restroom? *

Once 2 times 3 times 4+ times

When do you leak urine? Check all that apply *

Cough Laugh Sneeze

Are you currently taking medications? If so, please list them below: *

Please list any surgeries or past medical events /history: *

Have you had prostate surgery? *

Yes No

If yes, when did you have your surgery? *

How much fluid do you drink during the day? *

Do you have pain? (Pelvic, Low Back, Hip or anything else?) *

What kind of physical activity do you currently perform? *

Submit

Skype With Us

Click the "Chat" button above.
A Skype login window will open. Enter your Skype login information. If you do not already have a Skype account visit www.skype.com to download the program and create a new account.
After you have logged in, Emily's contact will be active. Double click on her account icon and add her as a contact.
After Emily ads you as a contact, you will be able to instant message her and send photos and videos. You will also be able to access live video chat with Emily.

Emily's Account Icon - Icons on right side (Live Video chat, Live phone call, add other contacts)

How to send a video message

To send a video message click the video icon in the messaging toolbar. (See example below)

Skype messaging toolbar. From left to right (Message box, photo attachment, video attachment, send contacts, emoji)

To record your message, click the red record button at the bottom of the screen. Click the record button a second time to stop recording. You can review your video message by clicking the play button after you have finished recording. To send the message, click the send button at the bottom of the window.