Table 6. Velopharyngeal Insufficiency Effects on Life Outcomes (VELO) survey tool.

Velopharyngeal Insufficiency Effects on Life Outcomes (VELO) survey tool developed by Skirko et al., 2012 [7].

		Never (0)	Almost never (1)	Sometimes (2)	Often (3)	Almost always (4)
Speech Limitations (problems with…)
1	Air comes out his or her nose when talking
2	Runs out of breath when talking
3	Difficulty speaking in long sentences
4	Speech is too weak
5	Difficulty being understood when in a hurry
6	Speech gets worse toward the end of the day
7	Speech sounds different than other kids
Swallowing Problems (problems with...)
8	Liquids come from the nose while drinking
9	Solid food comes from the nose while eating
10	Others make fun of my child when food or liquids escape through the nose
Situational Difficulty (problems with...)
11	Speech is difficult for strangers to understand
12	Speech is difficult for friends to understand
13	Speech is difficult for family to understand
14	Difficulty being understood when not speaking face to face, eg, as in a car
15	Difficulty being understood on the phone
Emotional Impact (problems with...)
16	Teased because of speech
17	Child gets sad because of speech
18	Gets frustrated or gives up when he or she is not understood
19	Is shy or withdrawn because of speech
Perception by Others (problems with...)
20	Treated as if he or she is not very bright because of speech
21	Others ignore my child because of his or her speech
22	Others do not like to talk on the phone with my child because of his or her speech
23	Family or friends tend to speak for my child
Caregiver Impact (problems with...)
24	I am worried or concerned about my child’s speech
25	I find it difficult to understand my child
26	My child’s speech problem slows me down or inconveniences me