Loading
Get Sydney Swallow Questionnaire
How it works
-
Open form follow the instructions
-
Easily sign the form with your finger
-
Send filled & signed form or save
How to fill out the Sydney Swallow Questionnaire online
The Sydney Swallow Questionnaire is designed to assess the severity of swallowing difficulties. This guide will provide you with comprehensive instructions on how to fill out the questionnaire online, ensuring that you can complete it easily and accurately.
Follow the steps to complete the Sydney Swallow Questionnaire online.
- Click ‘Get Form’ button to obtain the form and open it in the editor.
- Begin by entering your name in the designated field to identify your responses.
- Provide your date of birth and sex in the corresponding fields to assist in the assessment.
- Answer the first question regarding your overall difficulty swallowing by placing an 'X' on the scale provided.
- Continue with the subsequent questions about swallowing different types of liquids and foods by marking 'X' according to your level of difficulty.
- For questions about the sensation of food getting stuck or coughing while swallowing, choose the option that best reflects your experience.
- Indicate the time it takes you to eat an average meal by ticking one of the provided options.
- For the final questions, rate the severity of your swallowing problem and how it interferes with your quality of life.
- Once you have completed all sections, review your responses for accuracy.
- Save your changes, then download, print, or share the questionnaire as needed.
Complete the Sydney Swallow Questionnaire online today for a better understanding of your swallowing difficulties.
Background: The Sydney Swallow Questionnaire (SSQ) is a self-report inventory assessing subjective symptoms of oropharyngeal dysphagia with strong content, construct, discriminant, and predictive validity and test-retest reliability in a range of patient populations.
Industry-leading security and compliance
US Legal Forms protects your data by complying with industry-specific security standards.
-
In businnes since 199725+ years providing professional legal documents.
-
Accredited businessGuarantees that a business meets BBB accreditation standards in the US and Canada.
-
Secured by BraintreeValidated Level 1 PCI DSS compliant payment gateway that accepts most major credit and debit card brands from across the globe.