Symptoms Score (VoiSS) My voice makes it difficult for people to hear me01234My voice makes it difficult for people to hear me01234I run out of air when I talk01234People have difficulty understanding me in a noisy room01234The sound of my voice varies throughout the day01234My family has difficulty hearing me when I call throughout the house01234Iuse the phone less often than I would like01234I’m tense when talking with others because of my voice01234I tend to avoid groups of people because of my voice01234People seem irritated with my voice01234People ask, “What’s wrong with your voice?”01234I speak with friends, neighbours or relatives less because of my voice01234People ask me to repeat myself when speaking face to face01234My voice sounds creaky and dry01234I feel as though I have to strain to produce my voice01234I find other people don’t understand my voice problem01234My voice difficulties restrict my personal and social life01234The clarity of my voice is unpredictable01234I try to change my voice to sound different01234I feel left out of my conversation because of my voice01234I use a great deal of effort to speak01234My voice is worse in the evening01234My voice problem causes me to lose income01234My voice problem upsets me01234I am less outgoing because of my voice problem01234My voice makes me feel handicapped01234My voice ‘gives out on me’ in the middle of speaking01234I feel annoyed when people ask me to repeat myself01234I am embarrassed when people ask me to repeat myself01234My voice makes me feel incompetent01234I’m ashamed of my voice problem01234 Name DOB Email Phone number Please contact me by email Please contact me by phone Time is Up!