Table 2. Fecal incontinence assessment score

Wexner cleveland clinic score
Type of incontinence Frequency of symptoms
Never Rarely Sometimes Usually Always
Solid 0 1 2 3 4
Liquid 0 1 2 3 4
Gas 0 1 2 3 4
Pad usage 0 1 2 3 4
Impact on life style 0 1 2 3 4
Score of 0=perfect continence; 20=complete incontinenceNever, 0; rarely, <1/ month; sometimes, >1/ month; usually, >1/ week, <1/ day; always, >1/ day
St. Mark’s incontinence score
Never Rarely Sometimes Weekly Daily
Incontinence for solidd stool 0 1 2 3 4
Incontinence for liquid stool 0 1 2 3 4
Incontinence for gas 0 1 2 3 4
Alteration in lifestyle 0 1 2 3 4
No Yes
Need to wear a pad or plug 0 2
Taking constipating medicines 0 2
Lack of ability to defer defecation for 15 minutes 0 4
Score of 0=perfect continence; 24=totally incontinencenever, 0; rarely, 1/ month; sometimes, >1/ month but <1 a week; weekly, ≥1/ week but <1 a day; daily, ≥1/ day
Fecal incontinence quality of life (FIQL) scale composition
Questions: scale 1-lifestyle
 I cannot do many of things I want to do. I am afraid to go out. It is important to plan my schedule around my bowel pattern. I cut down on how much I eat before I go out. It is difficult for me to get out and do things like going to a movie or to church. I avoid traveling by plane or train. I avoid traveling. I avoid visiting friends. I avoid going out to eat. I avoid staying overnight away from home.
Scale 2. coping/behavior
 I have sex less often than I would like to. The possibility of bowel accidents is always on my mind. I feel I have no control over my bowels. Whenever I go someplace new, I specifically locate where the bathrooms are. I worry about not being able to get to the toilet in time. I worry about bowel accidents. I try to prevent bowel accidents by staying very near a bathroom. I can’t hold my bowel movement long enough to get to the bathroom. Whenever I am away from home, I try to stay near a restroom as much as possible.
Question: scale 3-depression/self perception
 In general, would you say your health is excellent, very good, good, fair, and poor. I am afraid to have sex. I feel different from other people. I enjoy life less. I feel like I am not a healthy person. I feel depressed. During past month, have you felt so sad, discouraged, hopeless, or had so many problems that you wondered if anything was worthwhile.
Question: scale 4-embarrassment
 I leak stool without even knowing it. I worry about others smelling stool on me. I feel ashamed.