Voice-Related Quality of Life (V-RQOL) Measure First Name Last Name Date MM DD YYYY Please answer all the questions based on what your voice has been like over the past two weeks. There are no "right" or "wrong answers. 1 = None, not a problem 2 = A small amount 3 = A moderate (medium) amount 4 = A lot 5 = Problem is as "bad as it can be" BECAUSE OF MY VOICE 1. I have trouble speaking loudly or being heard in noisy situations. How much of a problem is this? 2. I run out of air and need to take frequent breaths when talking. How much of a problem is this? 3. I sometimes do not know what will come out when I begin speaking. How much of a problem is this? 4. I am sometimes anxious or frustrated because of my voice. How much of a problem is this? 5. I sometimes get depressed because of my voice. How much of a problem is this? 6. I have trouble using the telephone because of my voice. How much of a problem is this? 7. I have trouble doing my job or practicing my profession because of my voice. How much of a problem is this? 8. I avoid going out socially because of my voice. How much of a problem is this? 9. I have to repeat myself to be understood. How much of a problem is this? 10. I have become less outgoing because of my voice. How much of a problem is this? Raw Score: _____ / 50 Standard Score: _____ / 100 Thank you!
