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Keep this record for at least 2 days. Please write down 4 things every time you pass or leak urine: The time (for instance, "10:30 AM") The amount of urine that you pass Whether you leaked any urine (were "wet") or not (were "dry") Whether anything special may have caused you to go (for instance, "just had coffee," "coughed," "was running to the bathroom," "just took my water pill") To measure the amount of urine you pass, we will give you a special receptacle (called a "hat"). Place the hat in the toilet to catch the urine every time you go. Look at how high the urine fills the hat, and write down the amount from the numbers on the inside of the hat. Remember to empty the hat after each time you go. If you leak urine and cannot measure the amount that came out, write down your best guess. Start the record in the morning the first time you go to the bathroom after you get up. Please indicate on the form the time you went to bed and the time you got up.