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. Author manuscript; available in PMC: 2017 Nov 30.
Published in final edited form as: Semin Speech Lang. 2015 Oct 12;36(4):283–294. doi: 10.1055/s-0035-1562911

Table 1.

Survey questions, subdivided by the most closely affiliated ICF Chapter

ICF Chapter/Component
Communication (d3)
 My child’s speech sounds different from the speech of other children his/her age.
 My child feels that his/her speech sounds different from other children’s.
Interpersonal interactions and relationships (d7)
 My child is reluctant to speak to unfamiliar people.
 My child’s speech has an impact on his/her social interactions.
 My child has been teased or bullied because of the way his/her speech sounds.
 My child’s speech is a source of conflict within our family.
 I worry about my child’s speech.
Major life areas (d8)
 My child’s speech has an impact on his/her academic performance.
 My child is reluctant to participate in activities that call for public speaking (theater, debate, etc.).
 My child is happy with the way his/her speech sounds.
 My child’s speech has an impact on his/her general life satisfaction.