Physical domain

P1-My voice makes it difficult for people to hear me

P2-People have difficulty understanding me in a noisy room

P3-People ask me to repeat myself when speaking face-to-face

P4-My family has difficulty hearing me when I call them throughout the house

P5-I use the phone less often than I would like

P6-I tend to avoid groups of people because of my voice

P7-I speak whit friends, neighbors, or relatives less often because of my voice

P8-My voice difficulties restrict my personal and social life

P9-I feel left out of conversations because of my voice

P10-My voice problem causes me to lose income

Emotional domain

E1-I’m tense when talking with others because of my voice

E2-People seem irritated with my voice

E3-I find other people don’t understand my voice problem

E4-My voice problem upset me

E5-I’m less out-going 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’m ashamed of my voice problem

Functional domain

F1-I run out of air when I talk

F2-The sound of my voice varies throughout the day

F3-People ask “what’s wrong with your voice?”

F4-My voice sounds creaky and dry

F5-I feel as though I have to strain to produce voice

F6-The clarity of my voice is unpredictable

F7-I try to change my voice to sound different

F8-I use a great deal of effort to speak

F9-My voice is worse in the evening

F10-My voice “gives out” on me in the middle of speaking