Vocal Cord Dysfunction (VCD-Q)

This questionnaire helps to monitor symptoms in patients with a diagnosis of vocal cord dysfunction, or PVFM.

These are statements that many people have used to describe their breathing symptoms and the effects of these symptoms on their lives.

Please answer each question. Choose the response that indicates how much you agree with each statement.

1-5 Rating Scale

1 = Strongly Disagree
2 = Disagree
3 = Neither Agree or Disagree
4 = Agree
5 = Strongly Agree


  • Date Format: MM slash DD slash YYYY

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