|
| | Statements |
|
| Functional | |
| F1 | My voice makes it difficult for people to hear me. |
| F2 | People have difficulty understanding me in a noisy room. |
| F3 | My family has difficulty hearing me when I call them throughout the house. |
| F4 | I use the phone less often than I would like to. |
| F5 | I tend to avoid groups of people because of my voice. |
| F6 | I speak with friends, neighbors, or relatives less often because of my voice. |
| F7 | People ask me to repeat myself when speaking face-to-face. |
| F8 | My voice difficulties restrict personal and social life. |
| F9 | I feel left out of conversations because of my voice. |
| F10 | My voice problem causes me to lose income. |
|
| Physical | |
| P1 | I run out of air when I talk |
| P2 | The sound of my voice varies throughout the day. |
| P3 | People ask, “What’s wrong with your voice?” |
| P4 | My voice sounds creaky and dry. |
| P5 | I feel as though I have to strain to produce voice. |
| P6 | The clarity of my voice is unpredictable. |
| P7 | I try to change my voice to sound different. |
| P8 | I use a great deal of effort to speak. |
| P9 | My voice is worse in the evening. |
| P10 | My voice “gives out” on me in the middle of speaking. |
|
| Emotional | |
| E1 | I am tense when talking to others because of my voice. |
| E2 | People seem irritated with my voice. |
| E3 | I find other people do not understand my voice problem. |
| E4 | My voice problem upsets me. |
| E5 | I am less outgoing because of my voice problem. |
| E6 | My voice makes me feel handicapped. |
| E7 | I feel annoyed when people ask me to repeat. |
| E8 | I feel embarrassed when people ask me to repeat. |
| E9 | My voice makes me feel incompetent. |
| E10 | I am ashamed of my voice problem. |
|
