Table 1.
Reflux Symptom Index
| Within the past month, how did the following problems affect you? | 0 = no problem | 5 = severe problem |
| Hoarseness or a problem with your voice | 0 1 2 | 3 4 5 |
| Clearing your throat | 0 1 2 | 3 4 5 |
| Excess throat mucus or postnasal drip | 0 1 2 | 3 4 5 |
| Difficulty swallowing food, liquids, or pills | 0 1 2 | 3 4 5 |
| Coughing after you ate or after lying down | 0 1 2 | 3 4 5 |
| Breathing difficulties or choking episodes | 0 1 2 | 3 4 5 |
| Troublesome or annoying cough | 0 1 2 | 3 4 5 |
| Sensations of something sticking in your throat or a lump in your throat | 0 1 2 | 3 4 5 |
| Heartburn, chest pain, indigestion, or stomach acid coming up | 0 1 2 | 3 4 5 |
A total score of 13 is thought to be clinically significant.