OBJECTIVE:

EAT-10 helps to measure swallowing difficulties.
It may be important for you to talk with your physician about treatment options for symptoms.

INSTRUCTIONS:

Answer each question by writing the number of points in the boxes.
To what extent do you experience the following problems?

 

 

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SYMPTOMS
SCORE
My swallowing problem has caused me to lose weight.*
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My swallowing problem interferes with my ability to go out for meals.*
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Swallowing liquids takes extra effort.*
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Swallowing solids takes extra effort.*
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Swallowing pills takes extra effort.*
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Swallowing is painful.*
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The pleasure of eating is affected by my swallowing.*
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When I swallow food sticks in my throat.*
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I cough when I eat.*
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Swallowing is stressful.*
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