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.
08:30
Scale Explorer
How the Scales are Structured
DATA-BASED USER COHORTS
Who Usually Takes This Test?
BASED ON AGGREGATED, ANONYMIZED DATA FROM TENS OF THOUSANDS OF FREUDLY USERS.
Benchmarking
See How You Compare
Once you complete the test, your results are compared with real-world data from people in your country.
Below is a preview of how scores are typically distributed across each scale.
Below is a preview of how scores are typically distributed across each scale.
Physical Scale (PS)
Physical Scale (PS)
Average
3.9
Normal range
2.3 — 5.5
min.
0
max.
10
This curve shows how scores are typically distributed.
Once you complete the test, your result will appear on the scale so you can see how you compare.
Once you complete the test, your result will appear on the scale so you can see how you compare.
Functional Scale (FS)
Functional Scale (FS)
Average
4.8
Normal range
2.9 — 6.6
min.
0
max.
10
This curve shows how scores are typically distributed.
Once you complete the test, your result will appear on the scale so you can see how you compare.
Once you complete the test, your result will appear on the scale so you can see how you compare.
Emotional Scale (ES)
Emotional Scale (ES)
Average
2.7
Normal range
1.4 — 4
min.
0
max.
10
This curve shows how scores are typically distributed.
Once you complete the test, your result will appear on the scale so you can see how you compare.
Once you complete the test, your result will appear on the scale so you can see how you compare.
Voice Disorder Index (VDI)
Voice Disorder Index (VDI)
Average
9.1
Normal range
3.7 — 14.5
min.
0
max.
30
This curve shows how scores are typically distributed.
Once you complete the test, your result will appear on the scale so you can see how you compare.
Once you complete the test, your result will appear on the scale so you can see how you compare.
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SAMPLE QUESTIONS
Example Questions From the Test
- Yes
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- Yes
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- Yes
- No
WHAT THE TEST MEASURES
About This Assessment
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Voice Handicap Index (VHI) Test - Symptoms and Signs
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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