Appendix D: Paediatric Voice Handicap Index (pVHI)

Research topic: Vocal characteristics of school-aged children with attention deficit

hyperactivity disorder in a remedial primary school context

Participant details For office use only

Participant number V1
Date of birth (yy/mm/dd) V2
Gender Male Female V3

PEDIATRIC VOICE HANDICAP INDEX (pVHI)

(Zur, Cotton, Kelchner, Baker, Weinrich, & Lee, 2007)

0 = Never; 1 = Occasionally; 2 = Often; 3 = Very Often

Question Rating For office use only

0 1 2 3 4
 My child’s voice V4
makes it difficult
for people to hear
him/her.
 People have V5
difficulty
understanding my
child in a noisy
room.
 At home, we have V6
difficulty hearing
my child when
he/she calls
through the
house.
 My child tends to V7
avoid
communicating
because of his/her
voice.
 My child speaks V8
with friends,
neighbours, or
relatives less
often because of
 his/her voice.
 People ask my V9
child to repeat
him/herself when
speaking face-to-
face.
 My child’s voice V10
difficulties restrict
personal,
educational, and
social activities.
 My child runs out V11
of air when
talking.
 The sound of my V12
child’s voice
changes
throughout the
day.
 People ask, V13
“What’s wrong
with your child’s
voice?”
 My child’s voice V14
sounds dry, raspy,
and/or hoarse.
 The quality of my V15
child’s voice is
unpredictable.
 My child uses a V16
great deal of effort
to speak (e.g.,
straining).
 My child’s voice is V17
worse in the
evening.
 My child’s voice V18
“gives out” when
speaking.
 My child has to V19
yell in order for
others to hear
him/her.
 My child appears V20
tense when
talking with others
because of his/her
voice.
  People seem V21
irritated with my
child’s voice.
 I find other people V22
don’t understand
my child’s voice
problem.
 My child is V23
frustrated with
his/her voice
problem.
 My child is less V24
out-going
because of his/her
voice problem.
 My child is V25
annoyed when
people ask
him/her to repeat.

I would rate my child’s talkativeness as the following

Quiet Listener Average Talker Extremely Talkative V26

Overall Severity Rating of Voice

(Please place “X” mark anywhere along the line below to indicate the
severity of your child’s voice problem)

Normal Severe V27