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Click ‘Get Form’ to open the Sydney Swallow Questionnaire in the editor.
Begin by entering your name, date of birth, and sex in the designated fields at the top of the form.
For each question regarding your swallowing difficulties, place an 'X' on the line provided. Position it according to the severity of your issue: left for minor difficulty, middle for moderate, and right for severe.
Continue through each question, marking your responses clearly. Pay special attention to questions about swallowing different types of liquids and foods.
For questions that require a tick (e.g., time taken to eat a meal), select one option that best describes your experience.
Once completed, review your answers for accuracy before saving or exporting the document directly from our platform.

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How is a swallow test performed?

As previously mentioned, videofluoroscopy is universally accepted as the gold standard for studies on swallowing and its disorders(1, 10, 12, 13). The oral cavity can be analyzed for chewing, oral bolus organization and oral ejection.

What is the Sydney swallow questionnaire?

The Sydney Swallow Questionnaire (SSQ) is a 17 question, self-report inventory, which was developed to measure symptomatic severity of oral-pharyngeal dysphagia as reported by the affected patient. The questionnaire uses a 100mm long visual analogue scale (VAS) for all but one question.

What is the protocol for swallowing assessment?

The protocol consists of two phases: the pre-test phase and the assessment phase. The pre-testing phase involves applying different texture or thickness levels of food/liquid and determining the required bolus volume for the subsequent assessment.

What are the steps in the swallow assessment?

You will likely be asked to swallow a series of substances. They may range from water, thicker liquids, pureed foods, soft foods, and even regular foods. The SLP will note if you have problems chewing, swallowing, or breathing. They will also check if your voice sounds wet. That can be a sign of aspiration.

How do you conduct a swallow assessment?

You may be asked to do certain movements, such as smacking your lips together or sticking out your jaw. You will be given different foods and drinks to swallow. These may include water, other liquids, soft foods, and solid foods. The provider will check your teeth, lips, jaw, cheeks, and neck while you swallow.

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