1. My voice makes it difficult for people to hear me.
2. People have difficulty understanding me in a noisy room.
3. My family has difficulty hearing me when I call them.
4. I use the phone less often because of my voice.
5. I tend to avoid groups of people because of my voice.
6. I speak with friends and neighbors less often because of my voice.
7. People ask me to repeat what I say when speaking face-to-face.
8. My voice problem causes me to lose income.
9. I feel as though I have to strain to produce my voice.
10. My voice problem upsets me.