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Trans-woman Voice Questionnaire (TWVQ)

How to complete this Questionnaire:

  • The TWVQ is a self report questionnaire designed for use with women who were assigned male at birth and who identify and live full time as their authentic female gender.
  • Its purpose is to measure the women’s experiences with their voices.
  • Based on your actual experience living as a female, please tick the response that fits you best
  • Please select the response that indicates how frequently you experience the same symptoms
  • If you do not have a problem with your Voice, please select zero (1) in response to these statements.

1-4 Rating Scale

1 = Never or rarely
2 = sometimes
3 = often
4 = Usually or always

People have difficulty hearing me in a noisy room.

I feel anxious when I know I have to use my voice.

My voice makes me feel less feminine than I would like.

The pitch of my speaking voice is too low.

The pitch of my voice is unreliable.

My voice gets in the way of me living as a woman.

I avoid using the phone because of my voice

I’m tense when talking with others because of my voice.

My voice gets croaky, hoarse or husky when I try to speak in a female voice.

My voice makes it hard for me to be identified as a woman.

When I speak the pitch of my voice does not vary enough.

I feel uncomfortable talking to friends, neighbours and relatives because of my voice.

I avoid speaking in public because of my voice.

My voice sounds artificial.

I have to concentrate to make my voice sound the way I want it to sound.

I feel frustrated with trying to change my voice.

My voice difficulties restrict my social life.

When I am not paying attention my pitch goes down.

When I laugh I sound like a man.

My voice doesn’t match my physical appearance.

I use a great deal of effort to produce my voice.

My voice gets tired quickly.

My voice restricts the sort of work I do.

I feel my voice does not reflect the ‘true me’.

I am less outgoing because of my voice.

I feel self-conscious about how strangers perceive my voice.

My voice ‘gives out’ in the middle of speaking.

It distresses me when I’m perceived as a man because of my voice.

The pitch range of my speaking voice is restricted.

I feel discriminated against because of my voice.

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