| Ability to hold back defecation |
| Always | 3 |
| Problems < 1/week | 2 |
| Weekly problems | 1 |
| No voluntary control | 0 |
| Feels the urge to defecate |
| Always | 3 |
| Most of the time | 2 |
| Uncertain | 1 |
| Absent | 0 |
| Frequency of defecation |
| Every other day to twice a day | 2 |
| More often | 1 |
| Less often | 1 |
| Soiling |
| Never | 3 |
| Staining < 1/week, no change of underwear required | 2 |
| Frequently staining/soiling, change of underwear required | 1 |
| Daily soiling, requires protective aids | 0 |
| Accidents |
| Never | 3 |
| Less than 1/week | 2 |
| Weekly accidents, often requires protective aids | 1 |
| Daily, protective aids required day and night | 0 |
| Constipation |
| No constipation | 3 |
| Manageable with diet | 2 |
| Manageable with laxatives | 1 |
| Manageable with enemas | 0 |
| Social problems |
| No social problems | 3 |
| Sometimes (foul odors) | 2 |
| Problems causing restrictions of social life | 1 |
| Major social/psychological problems | 0 |
