Voice Handicap Index-10 (VHI-10)
The Voice Handicap Index-10, a ten-item patient-reported measure of self-perceived voice handicap.
Open the calculator → Runs in your browser. Data leaves only if you deliberately send a problem report from the interactive tool.
Example
- 1. Being heard by others
- 2
- 2. Being understood in a noisy room
- 2
- 3. Personal and social life
- 2
- 4. Feeling left out of conversations
- 2
- 5. Lost income
- 1
- 6. Straining to produce voice
- 3
- 7. Unpredictable voice clarity
- 2
- 8. Feeling upset about the voice
- 2
- 9. Feeling handicapped by the voice
- 1
- 10. Others asking what is wrong
- 1
Result: VHI-10 total 18 of 40: at or above the threshold of 11.
The tool opens with these values already filled in. Replace them with your own.
What the result means
- Each item
- 0 never, 1 almost never, 2 sometimes, 3 almost always, 4 always.
- 0 to 10
- Below the commonly cited threshold for abnormal voice handicap.
- 11 to 40
- At or above the commonly cited threshold of 11.
What you enter
- 1. Being heard by others
- 2. Being understood in a noisy room
- 3. Personal and social life
- 4. Feeling left out of conversations
- 5. Lost income
- 6. Straining to produce voice
- 7. Unpredictable voice clarity
- 8. Feeling upset about the voice
- 9. Feeling handicapped by the voice
- 10. Others asking what is wrong
How this is calculated
Rosen CA, Lee AS, Osborne J, Zullo T, Murry T. Development and validation of the Voice Handicap Index-10. Laryngoscope. 2004;114(9):1549-1556. Read the source ↗
A reference and educational tool. Not medical, legal, or financial advice, and not a substitute for clinician judgment.