How to complete this questionnaire:
- This questionnaire is designed to find out how your swallowing problem has been affecting your day-to-day quality of life.
- Please take the time to carefully read and answer each question.
- Some questions may look like others, but each one is different.
- Important Note: We understand that you may have a number of physical problems. Sometimes it is hard to separate these from swallowing difficulties. But, we hope that you an do your best ot concentrate only on your swallowing problem. Thank you for your efforts in completing this questionnaire.