How to complete this Questionnaire:
- This questionnaire helps to measure swallowing difficulties.
- These are statements many people have used to describe difficulty swallowing / eating
- To what extent do you experience the following problems?
- Select the most appropriate response for each statement.
0 - 4 Rating Scale
0 = No problem
1 = Mild Problem
2 = Mild to moderate
3 = Moderate problem
4 = Severe problem
0 = No problem
1 = Mild Problem
2 = Mild to moderate
3 = Moderate problem
4 = Severe problem