| Subscale | Domain totals | |||
|---|---|---|---|---|
| Domain | Informant | Friends/family | Unfamiliar people | |
| 1. Speaking | 1a: | 1b: | 1c: | Speaking total: |
| 2. Listening | 2a: | 2b: | 2c: | Listening total: |
| 3. Inability | 3a: | 3b: | 3c: | Inability total: |
| 4. Difficulty | 4a: | 4b: | 4c: | Difficulty total: |
| 5. Anxiety | 5a: | 5b: | 5c: | Anxiety total: |
| Informant total: | Friends/family total: | Unfamiliar people total: | Total ECAS score: ___/60 | |