1

What is your Subject ID (Badge ID)? (Required)

2

Today is? (Wednesday, Thursday, Friday, or Saturday). (Required)

3

Time at urination in format __:__ (am/pm) (Required)

4

On a scale of 0-6, how would you describe the intensity of asparagus odor in the current urine sample?(Required)

6 being the highest. Leave blank if N/A.
1
2
3
4
5
6
5

Odor description:(Required)

1- Very weak (odor threshold)
0 – no odor
3- Distinct
2- Weak
5- Very strong
4- Strong
6- Intolerable or offensive odor
6

If you forgot to note the odor after the urine void, please check yes.(Required)

No
Yes