How to complete this Questionnaire:
- Below you will find a list of symptoms and problems that may be caused by your child's throat problems.
- We would like to know more about these and would appreciate your answering the following questions to the best of your ability.
- There are no right or wrong answers, and only you can provide us with this information.
- Considering how severe the problem is when your child experiences it and how often it happens over the past 6 months for your child, please rate each item below on how 'bad' it is by circling the number the appropriate number.
- If a certain question is NOT a problem for your child, please circle '0'.
0 - 4 Rating Scale
0 = NO problem
1 = Very mild problem
2 = Mild or slight problem
3 = Moderate problem
4 = Severe problem
5 = Problem as bad as it could be
0 = NO problem
1 = Very mild problem
2 = Mild or slight problem
3 = Moderate problem
4 = Severe problem
5 = Problem as bad as it could be
