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ÍNDICE DE INCAPACIDAD VOCAL (VHI -30)

Nombre: _______________________________________________________________ Fecha: _______________

Casi Algunas Casi


Parte I - Funcional Nunca Siempre
Nunca Veces Siempre
La gente me oye con dificultad debido a mi voz 0 1 2 3 4
La gente no me entiende en sitios ruidosos 0 1 2 3 4
Mi familia no me oye si la llamo desde el otro lado de la casa 0 1 2 3 4
Uso el teléfono menos de lo que desearía 0 1 2 3 4
Tiendo a evitar las tertulias debido a mi voz 0 1 2 3 4
Hablo menos con mis amigos, vecinos y familiares 0 1 2 3 4
La gente me pide que repita lo que les digo 0 1 2 3 4
Mis problemas con la voz alteran mi vida personal y social 0 1 2 3 4
Me siento desplazado de las conversaciones por mi voz 0 1 2 3 4
Mi problema con la voz afecta mi rendimiento laboral 0 1 2 3 4

Subtotal: ___________

Casi Algunas Casi


Parte II - Física Nunca Siempre
Nunca Veces Siempre
Noto perder aire cuando hablo 0 1 2 3 4
Mi voz suena distinto a lo largo del día 0 1 2 3 4
La gente me pregunta: ¿Qué te pasa con la voz? 0 1 2 3 4
Mi voz suena quebrada y seca 0 1 2 3 4
Siento que necesito tensar la garganta para producir la voz 0 1 2 3 4
La calidad de mi voz es impredecible 0 1 2 3 4
Trato de cambiar mi voz para que suene diferente 0 1 2 3 4
Me esfuerzo mucho para hablar 0 1 2 3 4
Mi voz empeora por la tarde 0 1 2 3 4
Mi voz se altera en mitad de una frase 0 1 2 3 4

Subtotal: ___________

Casi Algunas Casi


Parte III - Emocional Nunca Siempre
Nunca Veces Siempre
Estoy tenso en las conversaciones por mi voz 0 1 2 3 4
La gente parece irritada por mi voz 0 1 2 3 4
Creo que la gente no comprende mi problema con la voz 0 1 2 3 4
Mi voz me molesta 0 1 2 3 4
Progreso menos debido a mi voz 0 1 2 3 4
Mi voz me hace sentir cierta minusvalía 0 1 2 3 4
Me siento contrariado cuando me piden que repita lo dicho 0 1 2 3 4
Me siento avergonzado cuando me piden que repita lo dicho 0 1 2 3 4
Mi voz me hace sentir incompetente 0 1 2 3 4
Estoy avergonzado de mi problema con la voz 0 1 2 3 4

Subtotal: ___________

Total: _______________ Nivel de incapacidad: ______________________________


ÍNDICE DE INCAPACIDAD VOCAL (VHI -10)

Nombre: _______________________________________________________________ Fecha: _______________

Casi Algunas Casi


Nunca Siempre
Nunca Veces Siempre
La gente me oye con dificultad debido a mi voz 0 1 2 3 4
La gente no me entiende en sitios ruidosos 0 1 2 3 4
Mis problemas con la voz alteran mi vida personal y social 0 1 2 3 4
Me siento desplazado de las conversaciones por mi voz 0 1 2 3 4
Mi problema con la voz afecta mi rendimiento laboral 0 1 2 3 4
Siento que necesito tensar la garganta para producir la voz 0 1 2 3 4
La calidad de mi voz es impredecible 0 1 2 3 4
Mi voz me molesta 0 1 2 3 4
Mi voz me hace sentir cierta minusvalía 0 1 2 3 4
La gente me pregunta: ¿Qué te pasa con la voz? 0 1 2 3 4

Total: _______________ Nivel de incapacidad: ______________________________


VOICE HANDICAP INDEX-PARTNER

Nombre: _______________________________________________________________ Fecha: _______________

I would rate my partner´s degree of talkativeness as the following: (circle response)


1…………….....2…………….....3…………….....4…………….....5…………….....6…………….....7
Quiet listener Average talker Extremely talkative

Almost Almost
Part I - Functional Never Sometimes Always
never always
Their voice makes it difficult for people to hear them 0 1 2 3 4
People have difficulty understanding my partner in s noisy room 0 1 2 3 4
Family has difficulty hearing them when they call throughout
0 1 2 3 4
the house
They use the pone less often than they would like to 0 1 2 3 4
They tend to avoid groups of people because of their voice 0 1 2 3 4
They speak with friends, neighbours, or relatives less often
0 1 2 3 4
because of their voice
People ask them to repeat themselves when speaking face-to-
0 1 2 3 4
face
Their voice difficulties restrict their personal and social life 0 1 2 3 4
They feel left out of conversations because of their voice 0 1 2 3 4
Their voice problema causes them to lose income 0 1 2 3 4

Almost Almost
Part II - Physical Never Sometimes Always
never always
They run out of air when they talk 0 1 2 3 4
They sound of their voice varies throughout the day 0 1 2 3 4
People ask, “What’s wrong with your voice?” 0 1 2 3 4
Their voice sounds creaky and dry 0 1 2 3 4
They feel as though they have to strain to produce a voice 0 1 2 3 4
The clarity of their voice is unpredictable 0 1 2 3 4
They try to change their voice to sound different 0 1 2 3 4
They use a great deal of effort to speak 0 1 2 3 4
Their voice is worse in the evening 0 1 2 3 4
Their voice “gives out” on them in the middle of speaking 0 1 2 3 4

Almost Almost
Part III – Emotional Never Sometimes Always
never always
They are tense when talking to others because of their voice 0 1 2 3 4
People seem irritated with their voice 0 1 2 3 4
They find other people don’t understand their voice problem 0 1 2 3 4
Their voice problem upsets them 0 1 2 3 4
They are less outgoing because of their voice problem 0 1 2 3 4
Their voice makes them feel handicapped 0 1 2 3 4
They feel annoyed when people ask them to repeat 0 1 2 3 4
They feel embarrassed when people ask them to repeat 0 1 2 3 4
Their voice makes me feel incompetent 0 1 2 3 4
They are ashamed of their voice problem 0 1 2 3 4

Total: _______________ Nivel de incapacidad: ______________________________


ÍNDICE DE INCAPACIDAD VOCAL PEDIÁTRICO (P-VHI)

Nombre: _______________________________________________________________ Fecha: _______________

Clasificaría la locuacidad de mi hijo de la siguiente forma (marque con un círculo la respuesta):

1…………….....2…………….....3…………….....4…………….....5…………….....6…………….....7
Nada hablador Moderadamente hablador Muy hablador

Casi Algunas Casi


Parte I - Funcional Nunca Siempre
Nunca Veces Siempre
La gente escucha con dificultad la voz de mi hijo 0 1 2 3 4
La gente no entiende la voz de mi hijo en sitios ruidosos 0 1 2 3 4
Tengo dificultad para oír a mi hijo si me llama desde el otro lado
0 1 2 3 4
de la casa
Mi hijo tiende a evitar las conversaciones debido a su voz 0 1 2 3 4
Mi hijo habla menos con sus amigos, vecinos y familiares debido a
0 1 2 3 4
su voz
La gente pide a mi hijo que repita lo que dice al hablar cara a cara 0 1 2 3 4
Los problemas de voz de mi hijo limitan sus actividades
0 1 2 3 4
personales, educativas y sociales

Casi Algunas Casi


Parte II - Física Nunca Siempre
Nunca Veces Siempre
Mi hijo se queda sin aire al hablar 0 1 2 3 4
La voz de mi hijo suena distinta a lo largo del día 0 1 2 3 4
La gente me pregunta: ¿Qué le pasa a la voz de tu hijo? 0 1 2 3 4
La voz de mi hijo suena seca, áspera y ronca 0 1 2 3 4
La calidad de la voz de mi hijo es impredecible 0 1 2 3 4
Mi hijo hace mucho esfuerzo para hablar 0 1 2 3 4
La voz de mi hijo empeora por la tarde 0 1 2 3 4
La voz de mi hijo falla cuando habla 0 1 2 3 4
Mi hijo tiene que gritar para ser escuchado por los demás 0 1 2 3 4

Casi Algunas Casi


Parte III - Emocional Nunca Siempre
Nunca Veces Siempre
Mi hijo está tenso cuando habla con los demás debido a su voz 0 1 2 3 4
La gente parece molesta por la voz de mi hijo 0 1 2 3 4
Creo que la gente no comprende el problema de voz de mi hijo 0 1 2 3 4
Mi hijo está frustrado a causa de su problema de voz 0 1 2 3 4
Mi hijo es menos extrovertido a causa de su problema de voz 0 1 2 3 4
Mi hijo se molesta cuando la gente le pide que repita algo 0 1 2 3 4
Mi hijo se avergüenza cuando la gente le pide que repita algo 0 1 2 3 4

Total: _______________ Nivel de incapacidad: ______________________________


CHILDREN VOICE HANDICAP INDEX – 10 (CVHI-10)

Nombre: _______________________________________________________________ Fecha: _______________

Algunas Muchas
Nunca Siempre
Veces Veces
People have difficulty hearing me because of my voice 0 1 2 3
People have difficulty understanding me in a noisy room 0 1 2 3
My voice difficulties prevent me to stay with people 0 1 2 3
I feel left out of conversations because of my voice 0 1 2 3
My voice difficulties reduce my school outcome 0 1 2 3
I feel i have to strain to produce voice 0 1 2 3
My voice is not light 0 1 2 3
My voice problem upsets me 0 1 2 3
My voice makes me feel inferior to other children or other boys 0 1 2 3
People ask me “what’s wrong with your voice?” 0 1 2 3

Total: _______________ Nivel de incapacidad: ______________________________


ÍNDICE DE INCAPACIDAD VOCAL PARA EL CANTO (S-VHI)

Nombre: _______________________________________________________________ Fecha: _______________

Casi Algunas Casi


Nunca Siempre
Nunca Veces Siempre
Me cuesta mucho esfuerzo cantar 0 1 2 3 4
Mi voz carece de fuerza y se rompe 0 1 2 3 4
Me siento frustrado con mi forma de cantar 0 1 2 3 4
Cuando canto, la gente me pregunta: ¿Qué le pasa a tu voz? 0 1 2 3 4
Mi habilidad para cantar varía de un día para otro 0 1 2 3 4
Mi voz se va cuando canto 0 1 2 3 4
Mi voz cantada me disgusta 0 1 2 3 4
Mis problemas para cantar hacen que no desee cantar/actuar 0 1 2 3 4
Me da vergüenza cantar 0 1 2 3 4
Soy incapaz de cantar en el registro agudo 0 1 2 3 4
Me pongo nervioso antes de cantar debido a mis problemas para
0 1 2 3 4
cantar
Mi voz hablada no es normal 0 1 2 3 4
Tengo la garganta seca cuando canto 0 1 2 3 4
He tenido que eliminar ciertos temas de mi repertorio 0 1 2 3 4
No tengo confianza de mi voz cantada 0 1 2 3 4
Mi voz cantada nunca es normal 0 1 2 3 4
Me cuesta que mi voz haga lo que quiero 0 1 2 3 4
Tengo que hacer esfuerzo para que me salga la voz cuando canto 0 1 2 3 4
Me cuesta controlar el aire en la voz 0 1 2 3 4
Tengo problemas para controlar la aspereza en mi voz 0 1 2 3 4
Tengo problemas al cantar fuerte 0 1 2 3 4
Tengo problemas para mantener la afinación mientras canto 0 1 2 3 4
Me siento agobiado por mi forma de cantar 0 1 2 3 4
Mi canto suena forzado 0 1 2 3 4
Mi voz hablada suena ronca después de cantar 0 1 2 3 4
La calidad de mi voz es variable 0 1 2 3 4
Al público le cuesta oír mi voz cuando canto 0 1 2 3 4
Mi forma de cantar me hace sentirme en desventaja 0 1 2 3 4
Mi voz cantada se cansa fácilmente 0 1 2 3 4
Siento dolor, picor o ahogo cuando canto 0 1 2 3 4
No me siento seguro de lo que va a salir cuando canto 0 1 2 3 4
Siento que falta algo en mi vida por mis limitaciones para cantar 0 1 2 3 4
Me preocupa que mis problemas para cantar me hagan perder
0 1 2 3 4
dinero
Me siento excluido de la escena musical por mi voz 0 1 2 3 4
Mi forma de cantar me hace sentirme incompetente 0 1 2 3 4
Tengo que cancelar actuaciones, contratos, ensayos o clases por
0 1 2 3 4
mi forma de cantar

Total: _______________ Nivel de incapacidad: ______________________________


THE VOCAL PERFORMANCE QUESTIONNAIRE

Nombre: _______________________________________________________________ Fecha: _______________

1. How do you think your voice sounds now (as compared to before your voice problems started)?
(a) No different from usual voice
(b) Only slightly different from usual voice
(c) Quite different from usual voice
(d) Very different from usual voice
(e) Totally different from usual voice

2. Does your voice give you any physical discomfort when you talk?
(a) No discomfort
(b) Slight discomfort
(c) Moderate discomfort
(d) A lot of discomfort
(e) Severe discomfort

3. Does your voice get worse as you talk?


(a) Not at all – it says the same
(b) Occasionally when I talk
(c) Often gets worse when I talk
(d) Often gets a lot worse when I talk
(e) Always gets a lot worse when I talk

4. Do you find it an effort to talk?


(a) No effort at all
(b) Slight effort sometimes (i.e. at the end of the day or when talking loudly etc.)
(c) Quite an effort sometimes
(d) An effort most of the time
(e) A constant effort to talk

5. How much are you using your voice at present?


(a) As much as I usually would
(b) A little less than I usually would
(c) Somewhat less than usual
(d) A lot less than usual
(e) Hardly at all

6. Does your voice problem stop you from doing anything that you would otherwise normally do?
(a) Doesn’t stop me doing anything that involves me using my voice
(b) Stops me doing a few things that involve using my voice
(c) Stops me doing a lot of things that involve using my voice
(d) Stops me doing most things that involve using my voice
(e) I can hardly do anything that involves me using my voice

7. In your opinion do you think that your voice is ever difficult to hear or understand?
(a) Not at all
(b) A little difficult
(c) Quite difficult
(d) Very difficult
(e) Extremely difficult

8. Do OTHER people (eg. close family) ever comment that your voice is difficult to hear or understand?
(a) No comments
(b) Ocasional comments
(c) Quite often there are comments
(d) Frequent comments
(e) Very frequent comments

9. Since your voice problem started has your voice . . .?


(a) Improved a lot
(b) Improved a little
(c) Not improved at all
(d) Deteriorated a little
(e) Deteriorated a lot

10. Since your voice problem started have OTHER people (eg close family) commented that your voice has improved?
(a) Other people say that my voice has improved a lot
(b) Other people say that my voice has improved a little
(c) Other people say that my voice has not improved at all
(d) Other people say that my voice has got a little worse
(e) Other people say that my voice has got a lot worse

11. Would you say that sound of your voice was . . .


(a) Normal
(b) No quite normal
(c) Mildly normal
(d) Quite abnormal
(e) Very abnormal

12. How much do you worry about your voice problem now?
(a) Not at all
(b) Hardly at all
(c) Quite a lot
(d) A good deal
(e) Almost all of the time

Assign a value of 1 to each (a) answer, a 2 to each (b) answer, and so on.
Total range of scores is therefore 12 (normal) to 60 (very severe dysfunction).

Total: _______________
THE VoiSS – VOICE SYMPTOMS SCALE

Nombre: _______________________________________________________________ Fecha: _______________

Some of Most of
Never Occasionally Always
the time the time
Do you have diificulty attracting attention? 0 1 2 3 4
Do you have problems singing? 0 1 2 3 4
Is your throat sore? 0 1 2 3 4
Is your voice hoarse? 0 1 2 3 4
When talking in Company do people fail to hear you? 0 1 2 3 4
Do you lose your voice? 0 1 2 3 4
Do you cough or clear your throat? 0 1 2 3 4
Do you have a weak voice? 0 1 2 3 4
Do you have problems talking on the telephone? 0 1 2 3 4
Do you feel miserable or depressed because of your voice
0 1 2 3 4
problem?
Does it feel as if there is something stuck in your throat? 0 1 2 3 4
Do you have swollen glands? 0 1 2 3 4
Are you embarrased by your voice problem? 0 1 2 3 4
Do yoy find the effort of speaking tiring? 0 1 2 3 4
Does your voice problem make you feel stressed and nervous? 0 1 2 3 4
Do you have difficulty competing against background noise? 0 1 2 3 4
Are you unable to shout or raise your voice? 0 1 2 3 4
Does your voice problema put a strain on your family and
0 1 2 3 4
Friends?
Do you have a lot of phlegm in your throat? 0 1 2 3 4
Does the sound of your voice vary throughout the day? 0 1 2 3 4
Do people seem irritated by your voice? 0 1 2 3 4
Do you have a blocked nose? 0 1 2 3 4
Do people ask what is wrong with your voice? 0 1 2 3 4
Does your voice sound creaky and dry? 0 1 2 3 4
Do you feel you have to strain to produce voice? 0 1 2 3 4
How often do you get throat infections? 0 1 2 3 4
Does your voice “give out” in the middle of speaking? 0 1 2 3 4
Does your voice make you feel incompetent? 0 1 2 3 4
Are you ashamed of your voice problem? 0 1 2 3 4
Do you feel lonely because of your voice problem? 0 1 2 3 4

Total VoisSS: _______________

Impairment: 1, 2, 4, 5, 6, 8, 9, 14, 16, 17, 20, 23, 24, 25, 27 (max 60) = _____________

Emotional: 10, 13, 15, 18, 21, 28, 29, 30 (max 32) = _____________

Physical: 3, 7, 11, 12, 19, 22, 26 (max 28) = ____________


PROTOCOLO DO PERFIL DE PARTICIPACAO E ATIVIDADES VOCAIS (PPAV)

Nombre: _______________________________________________________________ Fecha: _______________

Autopercepcao do grau de seu problema vocal

O quanto o seu problema de voz é intenso?

Normal I_____________________________________________________I Intenso

Efeitos no trabalho

Seu trabalho é afetado pelo seu problema de voz?

Nunca I_____________________________________________________I Sempre

Nos últimos 6 meses vocé chegou a pensar em mudar seu trabalho por causa do seu problema de voz?

Nunca I_____________________________________________________I Sempre

Seu problema de voz criou alguma pressao em seu trabalho?

Nunca I_____________________________________________________I Sempre

Nos últimos 6 meses, o seu problema de voz tem afetado o futuro de sua carreira profissional?

Nunca I_____________________________________________________I Sempre

Efeitos na comunicacao diária

As pessoas pedem para voce repetir o que acabou de dizer por causa do seu problema de voz?

Nunca I_____________________________________________________I Sempre

Nos últimos 6 meses voce alguma vez evitou falar com as pessoas por causa do seu problema de voz?

Nunca I_____________________________________________________I Sempre

As pessoas tem dificuldade de compreender vocea o telefone por causa do seu problema de voz?

Nunca I_____________________________________________________I Sempre

Nos últimos 6 meses voce reduziu o uso do telefone por causa do seu problema de voz?

Nunca I_____________________________________________________I Sempre

O seu problema de voz afeta sua comunicacao em ambientes silenciosos?

Nunca I_____________________________________________________I Sempre

O seu problema de voz afeta sua comunicacao em ambientes ruidosos?

Nunca I_____________________________________________________I Sempre

Nos últimos 6 meses voce alguma vez chegou a evitar conversas em ambientes ruidosos por causa do seu problema de voz?

Nunca I_____________________________________________________I Sempre

Seu problema de voz afeta sua mensagem quando voce está falando para um grupo de pessoas?

Nunca I_____________________________________________________I Sempre

Nos últimos 6 meses voce alguma vez evitou conversas em grupo por causa do seu problema de voz?
Nunca I_____________________________________________________I Sempre

O seu problema de voz afeta na transmissao da sua mensagem?

Nunca I_____________________________________________________I Sempre

Nos últimos 6 meses voce alguma vez evitou falar por causa do seu problema de voz?

Nunca I_____________________________________________________I Sempre

Efeitos na comunicacao social

Seu problema de voz afeta suas atividades sociais?

Nunca I_____________________________________________________I Sempre

Nos últimos 6 meses voce evitou atividades sociais por causa do seu problema de voz?

Nunca I_____________________________________________________I Sempre

Sua familia, amigos ou colegas de trabalho se incomodam com seu problema de voz?

Nunca I_____________________________________________________I Sempre

Nos últimos 6 meses alguma vez voce evitou comunicar-se com seus familiares, amigos ou colegas de trabalho por causa do
seu problema de voz?

Nunca I_____________________________________________________I Sempre

Efeitos na sua emocao

Voce se sente chateado por causa do seu problema de voz?

Nunca I_____________________________________________________I Sempre

Voce está envergonhado pelo seu problema de voz?

Nunca I_____________________________________________________I Sempre

Voce está com baixa autoestima por causa do seu problema de voz?

Nunca I_____________________________________________________I Sempre

Voce está preocupado por causa do seu problema de voz?

Nunca I_____________________________________________________I Sempre

Voce se sente insatisfeito por causa da sua voz?

Nunca I_____________________________________________________I Sempre

Seu problema de voz afeta sua personalidade?

Nunca I_____________________________________________________I Sempre

Seu problema de voz afeta sua autoimagem?

Nunca I_____________________________________________________I Sempre

Total: _______________
VOICE RELATED QUALITY OF LIFE SURVEY (VRQL) VOICE OUTCOME SURVEY

Nombre: _______________________________________________________________ Fecha: _______________

1= None, not a problem


2= A small amount
3= A moderate (medium) amount
4= A lot
5= Problem is as bad as it can be

Because of my voice How much of a problem is this?


I have trouble speaking loudly or being heard in noisy
1 2 3 4 5
situations.
I run out of air and need to take frequent breaths when
1 2 3 4 5
speaking.
I sometimes do not know what will come out when I begin to
1 2 3 4 5
speak.
I am sometimes getting depressed (because of my voice). 1 2 3 4 5
I am sometimes anxious and frustrated (because of my voice). 1 2 3 4 5
I have trouble doing my job or practicing my profession. 1 2 3 4 5
I have trouble using the telephone. 1 2 3 4 5
I avoid going out socially. 1 2 3 4 5
I have to repeat myself to be understood. 1 2 3 4 5
I have become less outgoing. 1 2 3 4 5

Total: _______________
PEDIATRIC VOICE RELATED QUALITY OF LIFE SURVEY (PVRQOL)

Nombre: _______________________________________________________________ Fecha: _______________

1= None, not a problem


2= A small amount
3= A moderate (medium) amount
4= A lot
5= Problem is as bad as it can be
6= Not applicable

Because of my child’s voice How much of a problem is this?


My child has trouble speaking loudly or being heard in noisy situations. 1 2 3 4 5 6
My child runs out of air and need to take frequent breaths when talking. 1 2 3 4 5 6
My child sometimes does not know what will come out when he or she
1 2 3 4 5 6
begins speaking.
My child is sometimes anxious or frustrated (because of his or her voice). 1 2 3 4 5 6
My child sometimes gets depressed (because of his or her voice). 1 2 3 4 5 6
My child has trouble using the telephone or speaking with friends in
1 2 3 4 5 6
person.
My child has trouble doing his or her job or schoolwork (because of his
1 2 3 4 5 6
or her voice).
My child avoids going out socially (because of his or her voice). 1 2 3 4 5 6
My child has to repeat himself or herself to be understood. 1 2 3 4 5 6
My child has become less outgoing (because of his or her voice). 1 2 3 4 5 6

Total: _______________
VOICE OUTCOME SURVEY FOR UNILATERAL VOCAL CORD PARALYSIS (VOS)

Nombre: _______________________________________________________________ Fecha: _______________

1. In general, how would you say your speaking voice is?


a. Excellent
b. Good
c. Adequate
d. Poor or inadequate
e. I have no voice

2. To what extent does your voice now limit your ability to be understood in a noisy area?
a. Limited a lot
b. Limited a little
c. Not limited at all

3. During the past 2 weeks, to what extent has your voice interfered with your normal social activities or with
work?
a. Not at all
b. Slightly
c. Moderately
d. Quite a bit
e. Extremely

4. How often do you have trouble with food or liquids going “down the wrong pipe” when you eat or find yourself
coughing after eating or drinking?
a. All the time
b. Most of the time
c. Sometimes
d. Rarely
e. Never

5. Do you find yourself “straining” when you speak because of your voice problem?
a. Not at all
b. A little bit
c. Moderately
d. Quite a bit
e. Extremely
INDICE DE DESVENTAJA VOCAL PARA EL CANTO POPULAR EN ESPAÑOL CHILENO –
IDVCP-Ch

Por favor, marca una respuesta por cada pregunta. No dejes ninguna pregunta sin responder.

Nombre:
Edad:

Opciones de respuestas: 0= Nunca 1= A veces 2= Casi siempre 3= Siempre


Gracias por completar este cuestionario
¿Usted respondió todas las preguntas?

Para uso del evaluador:


Cada pregunta tiene un puntaje de 0 a 4 de acuerdo a la frecuencia respuesta: nuca, casi nunca, a veces, casi
siempre, siempre.

Puntaje total de ESV: Indica el nivel general de la alteración de voz (máximo 120) = ___________

La subescalas son calculadas por la suma de los ítems, de la siguiente forma:


Limitación: 1, 2, 4, 5, 6, 8, 9, 14, 16, 17, 20, 23, 24, 25, 27 (Max 60) = ___________
Emocional: 10, 13, 15, 18, 21, 28, 29, 30 (Max 32) = ___________
Físico: 3, 7, 11, 12, 19, 22, 26 (Max 28) = ___________

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