Voice Handicap Index - 10 Self Rating Form - St George's University Hospitals NHS Foundation Trust

Name*

First Last

Date of Birth*

Date*

Name of Clinician*

Status of Therapy*

Pre-therapy
Post-therapy

Instructions

These are statements that many people have used to describe their voices and the effects of their voices on their lives. Tick the response that indicates how frequently you have the same experience.

My voice makes it difficult for people to hear me.*

I run out of air when I talk.*

People have difficulty understanding me in a noisy room.*

The sound of my voice varies throughout the day.*

My family has difficulty hearing me when I call them throughout the house.*

I use the phone less often than I would like.*

I tend to avoid groups of people because of my voice.*

People seem irritated with my voice.*

People ask, “What’s wrong with your voice ?”*

Voice Handicap Index – 10 Self Rating Form

Voice Handicap Index - 10 Self Rating From

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