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EAT-10: A Swallowing Screening Tool

Last name:

First name:

Age:

Date:

OBJECTIVE:

EAT-10 helps to measure swallowing difficulties.
It may be important for you to talk with your physician about treatment options for symptoms.

INSTRUCTIONS:

Answer each question by writing the number of points in the boxes.
To what extent do you experience the following problems?


Symptom Score
My swallowing problem has caused me to lose weight.
0 0 = no problem
1 1
2 2
3 3
4 4 = severe problem
Score
 
My swallowing problem interferes with my ability to go out for meals.
0 0 = no problem
1 1
2 2
3 3
4 4 = severe problem
Score
 
Swallowing liquids takes extra effort.
0 0 = no problem
1 1
2 2
3 3
4 4 = severe problem
Score
 
Swallowing solids takes extra effort.
0 0 = no problem
1 1
2 2
3 3
4 4 = severe problem
Score
 
Swallowing pills takes extra effort.
0 0 = no problem
1 1
2 2
3 3
4 4 = severe problem
Score
 
Swallowing is painful.
0 0 = no problem
1 1
2 2
3 3
4 4 = severe problem
Score
 
The pleasure of eating is affected by my swallowing.
0 0 = no problem
1 1
2 2
3 3
4 4 = severe problem
Score
 
When I swallow food sticks in my throat.
0 0 = no problem
1 1
2 2
3 3
4 4 = severe problem
Score
 
I cough when I eat.
0 0 = no problem
1 1
2 2
3 3
4 4 = severe problem
Score
 
Swallowing is stressful.
0 0 = no problem
1 1
2 2
3 3
4 4 = severe problem
Score
 
TOTAL SCORE

SCORING:

Add up the number of points and write your total score in the boxes.
Total Score (max. 40 points)

Reference: The validity and reliability of EAT-10 has been determined.
Belafsky PC, Mouadeb DA, Rees CJ, Pryor JC, Postma GN, Allen J, Leonard RJ. Validity and Reliability of the Eating Assessment Tool (EAT-10). Annals of Otology Rhinology & Laryngology 2008;117(12):919-924.