From: Treatment of T1b glottic SCC: laser vs. radiation- a Canadian multicenter study
| F 1. My voice makes it difficult for people to hear me. | 0 | 1 | 2 | 3 | 4 |
| P 2. I run out of air when I talk. | 0 | 1 | 2 | 3 | 4 |
| F 3. People have difficulty understanding me in a noisy room. | 0 | 1 | 2 | 3 | 4 |
| P 4. The sound of my voice varies throughout the day. | 0 | 1 | 2 | 3 | 4 |
| F 5. My family has difficulty hearing me when I call them throughout the house. | 0 | 1 | 2 | 3 | 4 |
| F 6. I use the phone less often than I would like to. | 0 | 1 | 2 | 3 | 4 |
| E 7. I’m tense when talking to others because of my voice. | 0 | 1 | 2 | 3 | 4 |
| F 8. I tend to avoid groups of people because of my voice. | 0 | 1 | 2 | 3 | 4 |
| E 9. People seem irritated with my voice. | 0 | 1 | 2 | 3 | 4 |
| P 10. People ask, “What’s wrong with your voice?” | 0 | 1 | 2 | 3 | 4 |