My voice makes it difficult for people to hear me.

I run out of air when I talk.

People have difficulty understanding me in a noisy room.

The sound of my voice varies throughout the day.

My family has difficulty hearing me when I call them throughout the house.

I use the phone less often than I would like.

I'm tense when talking with others because of my voice.

I tend to avoid groups of people because of my voice.

People seem irritated with my voice.

People ask, "What's wrong with your voice?"

I speak with friends, neighbors, or relatives less often because of my voice.

People ask me to repeat myself when speaking face-to-face.

My voice sounds creaky and dry.

I feel as though I have to strain to produce voice.

I find other people don't understand my voice problem.

My voice difficulties restrict my personal and social life.

The clarity of my voice is unpredictable.

I try to change my voice to sound different.

I feel left out of conversations because of my voice.

I use a great deal of effort to speak.

My voice is worse in the evening.

My voice problem causes me to lose income.

My voice problem upsets me.

I am less outgoing because of my voice problem.

My voice makes me feel handicapped.

My voice "gives out" on me in the middle of speaking.

I feel annoyed when people ask me to repeat.

I feel embarrassed when people ask me to repeat.

My voice makes me feel incompetent.

I'm ashamed of my voice problem.