Symptoms Score (VoiSS)

My voice makes it difficult for people to hear me

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 throughout the house

Iuse the phone less often than I would like

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

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?”

I speak with friends, neighbours or relatives less because of my voice

People ask me to repeat myself when speaking face to face

My voice sounds creaky and dry

I feel as though I have to strain to produce my voice

I find other people don’t understand my voice problem

My voice difficulties restrict my personal and social life

The clarity of my voice is unpredictable

I try to change my voice to sound different

I feel left out of my conversation because of my voice

I use a great deal of effort to speak

My voice is worse in the evening

My voice problem causes me to lose income

My voice problem upsets me

I am less outgoing because of my voice problem

My voice makes me feel handicapped

My voice ‘gives out on me’ in the middle of speaking

I feel annoyed when people ask me to repeat myself

I am embarrassed when people ask me to repeat myself

My voice makes me feel incompetent

I’m ashamed of my voice problem