Eating Assessment Tool

Belafsky PC, Mouadeb DA, Rees CJ, Pryor JC, Postma GN, Allen J, Leonard RJ. Validity and reliability of the Eating Assessment Tool (EAT-10). Ann Otol Rhinol Laryngol. 2008 Dec;117(12):919-24.
 

Within the last month, how did the following problems affect you?

Check the appropriate response.
0 = No Problem, 4 = Severe Problem

1. My swallowing problem has caused me to lose weight.
0 1 2 3 4
2. My swallowing problem interferes with my ability to go out for meals.
0 1 2 3 4
3. Swallowing liquids takes extra effort.
0 1 2 3 4
4. Swallowing solids takes extra effort.
0 1 2 3 4
5. Swallowing pills takes extra effort.
0 1 2 3 4
6. Swallowing is painful.
0 1 2 3 4
7. The pleasure of eating is affected by my swallowing.
0 1 2 3 4
8. When I swallow, food sticks in my throat.
0 1 2 3 4
9. I cough when I eat.
0 1 2 3 4
10. Swallowing is stressful.
0 1 2 3 4