Swallowing Questionnaires: EAT-10, PILL-5, & RSI Patient-Reported Outcome Measures

Free printable swallowing questionnaires for speech-language pathologists to use in dysphagia evaluation and treatment. These validated patient-reported outcome measures (PROMs) capture how swallowing difficulties affect patients in their own words.

Includes:

• EAT-10 (Eating Assessment Tool-10): a 10-question screening tool for swallowing difficulty
• PILL-5 (Pill Swallowing Questionnaire): a 5-question measure of difficulty swallowing pills and medications
• RSI (Reflux Symptom Index): a 9-question measure of laryngopharyngeal reflux symptoms

Ideal for SLPs tracking dysphagia symptoms over time in adults with stroke, Parkinson’s disease, head and neck cancer, and other conditions. Free instant PDF download.