Introduction

The Chicago Institute for Voice Care is seeking to update information about characteristics of individuals who have spasmodic dysphonia (SD). This survey has 9 questions and will take you less than 5 minutes to complete. Only general information is collected and your personal identity is not recorded. There is no risk to you. By completing this survey, you give us your consent to use the responses to update the information on characteristics of individuals with SD. We hope this information will contribute to the overall care of individuals with SD. 

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* 1. How would you describe your race or ethnic identity?

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* 2. What is your gender identity?

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* 3. At what age did you first experience symptoms of changing voice or increased effort to produce voice.

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* 4. At what age were you diagnosed with spasmodic dysphonia (SD)

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* 5. Were you able to be treated effectively within 25 miles of your home?

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* 6. Has your main treatment been voice therapy? (working with a Speech Pathologist)

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* 7. Has your main treatment been Botox?

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* 8. Has your main treatment been surgery? (SLAD-R, Thyroplasty Type II, other)

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* 9. Have economic factors influenced or limited your treatment options?

Thank you for completing this survey!
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