Symptom | Score |
My swallowing problem has caused me to lose weight. | 0 1 2 3 4 |
My swallowing problem interferes with my ability to go out for meals. | 0 1 2 3 4 |
Swallowing liquids takes extra effort. | 0 1 2 3 4 |
Swallowing solids takes extra effort. | 0 1 2 3 4 |
Swallowing pills takes extra effort. | 0 1 2 3 4 |
Swallowing is painful. | 0 1 2 3 4 |
The pleasure of eating is affected by my swallowing. | 0 1 2 3 4 |
When I swallow food sticks in my throat. | 0 1 2 3 4 |
I cough when I eat. | 0 1 2 3 4 |
Swallowing is stressful. | 0 1 2 3 4 |
Total score | /40 |