SWALLOWING OUTCOME AFTER LARYNGECTOMY (SOAL)
For each of the questions below, please indicate (
) the response which best suits what you have
felt or experienced today or over the last few days…
If you answered a little
or a lot, does this
bother you? Please
1. In your opinion, do you have a swallowing
2. Do you have a problem swallowing thin
liquids (tea, water, juice)? Unrelated to voice
3. Do you have a problem swallowing thick
liquids (soup, milkshake, supplement
4. Do you have a problem swallowing
soft/mashed foods (macaroni cheese,
5. Do you have a problem swallowing dry solid
food (bread, biscuits)?
6. Do liquids stick in your throat when you
7. Does food stick in your throat when you
8. Does food or liquid come back up into your
mouth or nose when you eat or drink?
9. Do you need to swallow liquid to help the
food go down?
10. Do you need to swallow many times on
each mouthful to help the food or drink go
11. Do you avoid certain foods because you
cannot swallow them?
12. Does it take longer to eat a meal?
13. Has your enjoyment of food reduced?
14. Has the size of your meal reduced?
15. Has your appetite reduced because you
cannot taste or smell food normally?
16. Has your eating been more difficult due to
17. Do you feel self conscious eating with other
Thank you for your time
Scoring (for the clinician):
Assign a score of 0 for (no); 1 for (a little) and 2 for (a lot). Sum the columns and add the totals to obtain a
score out of 34. Lower scores indicate fewer problems and better self-reported overall swallow function.
Bother: Items checked (yes) should be explored clinically to determine whether further discussion/intervention
during rehabilitation may be helpful to the patient.
Reference: Govender R, Lee MT, Drinnan M, Davies T, Twinn C & Hilari K. (2015)
Psychometric evaluation of the Swallowing Outcome after Laryngectomy (SOAL) patient-
reported outcome measure. Head & Neck.