Table 4.

Voice Handicap Index (VHI)

VHI-10 statement	Score
1. My voice makes it difficult for people to hear me	0 1 2 3 4
2. I run out of air when I talk	0 1 2 3 4
3. People have difficulty understanding me in a noisy room	0 1 2 3 4
4. The sound of my voice varies throughout the day	0 1 2 3 4
5. My family has difficulty hearing me when I call them throughout the house	0 1 2 3 4
6. I use the phone less often than I would like to	0 1 2 3 4
7. I’m tense when talking to others because of my voice	0 1 2 3 4
7. I’m tense when talking to others because of my voice	0 1 2 3 4
8. I tend to avoid groups of people because of my voice	0 1 2 3 4
9. People seem irritated with my voice	0 1 2 3 4
10. People ask ‘What’s wrong with your voice?’	0 1 2 3 4

0=never 1=almost never (occasionally) 2=sometimes 3=almost always 4=always.