Bayside Voice Centre

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Certified Practising Speech Pathologist, Cleveland

Paediatric Voice Quality of Life Survey (PVRQOL)

Please answer these questions based on what your childs voice (your own voice if you are a teenage respondent) has been like over the last 2 weeks. Consider how severe the problem is, when you get it and how frequently it happens. Please rate each item below on how bad it is (the amount of each problem).

1 = None, not a problem
2 = A small amount
3 = A moderate amount
4 = A lot
5 = Problem is “as bad as it can be”
6 = Not applicable

The results of these questions will be sent to your Speech Pathologist who will discuss them with you at your next appointment.

 

Because of my child’s voice...

Indicate how much of a problem this is.
1 = None, not a problem / 2 = A small amount / 3 = A moderate amount / 4 = A lot / 5 = Problem is "as bad as it can be" / 6 = Not applicable
1 = None, not a problem / 2 = A small amount / 3 = A moderate amount / 4 = A lot / 5 = Problem is "as bad as it can be" / 6 = Not applicable
1 = None, not a problem / 2 = A small amount / 3 = A moderate amount / 4 = A lot / 5 = Problem is "as bad as it can be" / 6 = Not applicable
1 = None, not a problem / 2 = A small amount / 3 = A moderate amount / 4 = A lot / 5 = Problem is "as bad as it can be" / 6 = Not applicable
1 = None, not a problem / 2 = A small amount / 3 = A moderate amount / 4 = A lot / 5 = Problem is "as bad as it can be" / 6 = Not applicable
1 = None, not a problem / 2 = A small amount / 3 = A moderate amount / 4 = A lot / 5 = Problem is "as bad as it can be" / 6 = Not applicable
1 = None, not a problem / 2 = A small amount / 3 = A moderate amount / 4 = A lot / 5 = Problem is "as bad as it can be" / 6 = Not applicable
1 = None, not a problem / 2 = A small amount / 3 = A moderate amount / 4 = A lot / 5 = Problem is "as bad as it can be" / 6 = Not applicable
1 = None, not a problem / 2 = A small amount / 3 = A moderate amount / 4 = A lot / 5 = Problem is "as bad as it can be" / 6 = Not applicable

Mark E. Boseley, MD; Michael J. Cunningham, MD; Mark S. Volk, MD, DMD; Christopher J. Hartnick, MD, MS Epi (2006). “Validation of the Pediatric Voice-Related Quality-of-Life Survey” Arch Otolaryngol Head Neck Surg. 2006; 132:717-720.