On a piece of paper, write down the appropriate response and then tally the total score when you are finished. |
| Within the last MONTH, how did the following problems affect you? |
0 = No Problem 4 = Severe Problem |
| My voice makes it difficult for people to hear me. |
0 |
1 |
2 |
3 |
4 |
|
| People have difficulty understanding me in a noisy room. |
0 |
1 |
2 |
3 |
4 |
|
| My voice difficulties restrict personal and social life. |
0 |
1 |
2 |
3 |
4 |
|
| I feel left out of conversations because of my voice. |
0 |
1 |
2 |
3 |
4 |
|
| My voice problem causes me to lose income. |
0 |
1 |
2 |
3 |
4 |
|
| I feel as though I have to strain to produce voice. |
0 |
1 |
2 |
3 |
4 |
|
| The clarity of my voice is unpredictable. |
0 |
1 |
2 |
3 |
4 |
|
| My voice problem upsets me. |
0 |
1 |
2 |
3 |
4 |
|
| My voice makes me feel handicapped. |
0 |
1 |
2 |
3 |
4 |
|
| People ask, “What’s wrong with your voice?” |
0 |
1 |
2 |
3 |
4 |
|
This total score represents your “Voice Handicap Index.” |
|
Printer-Friendly Page
Large Print Version
TOP