Voice Handicap Index (VHI) Test

In about 6 minutes, it helps you understand how voice issues affect your daily life, body, and emotions. With 30 quick items, it provides a clear baseline and tracks progress over time.

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Questions: 306 minutes

Hi! My name is Freudly, i am an AI therapist, I will give you an interpretation of the test after you complete it.

08:30

October 2, 2025

October 2, 2025
Material has been updated

October 2, 2025
Material has been published

13326 views

828 completions

680 likes

Scale Explorer

How the Scales are Structured

example score

4/10

Physical Scale (PS)

Measures the perceived physical and acoustic characteristics of the voice, including strength, timbre, and stability, and how much they interfere with daily life.

Low impact

Moderate impact

High impact

0 – 3: Low impact | 4 – 6: Moderate impact | 7 – 10: High impact

A score of 4 indicates a moderate level of perceived physical voice difficulties, suggesting noticeable but not severe issues with voice strength, timbre, or stability.

example score

7/10

Functional Scale (FS)

Measures how much voice difficulties interfere with everyday communication and daily activities.

Low impact

Moderate impact

High impact

0 – 3: Low impact | 4 – 6: Moderate impact | 7 – 10: High impact

A score of 7 suggests a high functional impact, meaning voice issues often make communication and routine tasks more difficult.

example score

7/10

Emotional Scale (ES)

Measures the degree of emotional distress and negative feelings associated with perceived voice difficulties.

Low impact

Moderate impact

High impact

0 – 3: Low impact | 4 – 6: Moderate impact | 7 – 10: High impact

A score of 7 falls in the High impact range, suggesting pronounced emotional concern or distress related to voice quality.

example score

13/30

Voice Handicap Index (VHI)

Measures how much voice difficulties interfere with a person’s quality of life across functional, physical, and emotional domains.

Low impact

Moderate impact

High impact

0 – 10: Low impact | 11 – 20: Moderate impact | 21 – 30: High impact

A score of 13 falls in the Moderate impact range, suggesting voice difficulties are having a noticeable but not severe effect on daily life.

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DATA-BASED USER COHORTS

Who Usually Takes This Test?

People with persistent hoarseness

41%OF USERS

Adults who notice ongoing hoarseness, voice fatigue, or reduced volume and want to understand how much it disrupts daily life.

Voice-dependent professionals

34%OF USERS

Teachers, singers, call-center workers, and other heavy voice users who feel strain and need a clear snapshot of functional and emotional impact.

Patients in voice treatment

25%OF USERS

People already seeing an ENT doctor or speech therapist who use the questionnaire to track symptoms and changes during therapy or recovery.

BASED ON AGGREGATED, ANONYMIZED DATA FROM TENS OF THOUSANDS OF FREUDLY USERS.

RESULTS YOU CAN ACTUALLY USE

What You’ll See After You Finish the Test

Scale Results
— Explained Clearly

Your scores across each test scale, translated into plain, usable insights. Not just numbers, but what they actually mean for your daily life, emotional state, and overall well-being.

AI-Powered
Interpretation

A structured, clinically grounded explanation. Our AI analyzes patterns and relationships between scales to provide a coherent interpretation — without alarmist language.

Statistical
Comparison

See how you compare to others. Your scores are placed in a statistical context, showing percentiles and trends based on anonymized platform data to help you understand what`s typical.

Practical
Recommendations

Actionable guidance tailored to your profile. Receive clear, realistic suggestions you can apply immediately — focused on coping, self-regulation, and realistic next steps.

AI-Detected
Insights

Key patterns you might not notice on your own. Surfacing subtle connections in your responses that help you better understand what may be driving your current results.

Discuss with
an AI Psychologist

Clarify, reflect, and explore right away. Talk through your outcomes, ask questions, and explore meanings in a calm, non-diagnostic dialogue environment.

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Used in 52+ countries

Benchmarking

See How You Compare

Once you finish the test, your results will be compared with real-world data from people in your country.
Below is a preview of the benchmarks we use to place your score in context.

Physical Scale (PS)

Average

3.9

Normal range

2.3 — 5.5

min.

max.

majority

This curve shows how scores are typically distributed.
Once you complete the test, your result will appear here so you can see where you land.

Functional Scale (FS)

Average

4.8

Normal range

2.9 — 6.6

min.

max.

majority

This curve shows how scores are typically distributed.
Once you complete the test, your result will appear here so you can see where you land.

Emotional Scale (ES)

Average

2.7

Normal range

1.4 — 4

min.

max.

majority

This curve shows how scores are typically distributed.
Once you complete the test, your result will appear here so you can see where you land.

Voice Disorder Index (VDI)

Average

9.1

Normal range

3.7 — 14.5

min.

max.

majority

This curve shows how scores are typically distributed.
Once you complete the test, your result will appear here so you can see where you land.

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“I was pleasantly surprised when I read the results. It was as if someone had sorted out my messy thoughts and given me useful tips to help me speak with more confidence.”

— Grace O., IE

“It was really solid, very detailed, and it actually helped me make sense of a lot of things.”

— Carla T., TT

“I was really impressed with the report. It was clear, thoughtful, and it reflected things I’ve been noticing about myself.”

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CLEAR ANSWERS TO COMMON QUESTIONS

Frequently Asked Questions

Any questions left?

What does this questionnaire measure?

It measures how voice difficulties affect daily activities, physical voice symptoms, and emotional well-being. The results reflect the perceived impact on quality of life.

How is it structured?

It includes 30 statements covering functional, physical, and emotional aspects of voice-related difficulty. Each statement is rated based on personal experience.

How long does it take to complete?

Most respondents complete it in about 6 minutes. Time may vary depending on reading speed and symptom complexity.

How should responses be selected?

Select the option that best matches how often each statement applies. Responses should reflect typical experience rather than an unusually good or bad day.

How are the results used?

Scores help identify areas of greatest impact and support clinical decision-making. Repeated administrations can track change over time during treatment.

WHAT THE TEST MEASURES

About This Assessment

Voice Handicap Index (VHI) Test

voice and hearing

When voice functioning does not meet a person’s expectations, it can affect daily activities and emotional well-being. The Voice Handicap Index (VHI) is a patient-reported outcome measure designed to capture the perceived impact of voice difficulties on everyday life (Grywalski, Johnson, Silbergleit, & Jacobson). It includes 30 items and typically takes about 6 minutes to complete.

Items reflect common concerns across functional, physical, and emotional domains, supporting a structured description of self-perceived voice-related limitations. The Voice Handicap Index (VHI) can be used to document baseline severity from the patient’s perspective and to track change over time in response to intervention or clinical follow-up.

Author: Annette Grywalski, Barbara H. Jacobson, Elizabeth M. Silbergleit, Gary R. Johnson

Literature: Ma, E. P.-M., & Yiu, E. M.-L. Voice activity and participation profile: Assessing the impact of voice disorders on daily activities. Journal of Speech, Language, and Hearing Research. 2001.; Jacobson, B. H., Johnson, A., Grywalski, C., Silbergleit, A., Jacobson, G., & Benninger, M. S. The Voice Handicap Index (VHI): Development and validation. American Journal of Speech-Language Pathology. 1997.

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