Frequency Volume Chart
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1
2Frequency Volume Chart
Instructions
Example
Day 1
Before starting to fill in the chart you will need a small plastic measuring
Type of
Amount
Amount
Wet/pad
jug, with millilitres marked on it. It is best to choose 2 or 3 days when
Time
drink
of drink
of urine
changed
you know you will not be particularly busy (eg, over a weekend). They
do not need to be consecutive days.
6.00am
7.00am
woke
Type of drink - please write what sort of drink you had in this column
(eg, tea, coffee, water).
8.00am
tea
250
9.00am
240
Amount of drink - before you start, and to avoid having to measure
every drink you have, please use the jug to measure the volume (amount
10.00am
coffee
250
of liquid it holds) of your usual cup/mug/glass and keep a note of these
11.00am
180
figures in the table below. Please then enter the appropriate volume in
12 noon
the column overleaf when you have a drink. The jug can then be used
to measure the volume of urine passed.
1.00pm
water
175
2.00pm
Amount of urine passed - every time you pass urine, measure the
amount in the measuring jug and record the amount in mls (millilitres).
3.00pm
320
It is important to record the amount of urine passed during the night
4.00pm
tea
250
time as well as the day time and enter it in the appropriate column.
5.00pm
Wet/pads changed - please write wet every time you are wet and pad
6.00pm
every time you changed a pad in the corresponding column, if this
7.00pm
280
pad
applies to you.
8.00pm
wine
175
Please also note on the chart at what
hour you woke up (by writing woke)
9.00pm
Average
Record
and when you went to bed
volume in
your usual
10.00pm
coffee
150
130
mls
cup/mug
(by writing bed).
11.00pm
bed
volumes
Complete the chart for 3 full days
here
12 midnight
and bring it to your next
1.00am
Cup
150
appointment.
2.00am
Glass
175
Thank you
3.00am
170
Mug
250
4.00am
Pint
550
550
5.00am
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