EAT-10: A Swallowing Screening Tool

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?

SYMPTOMS
SCORE
My swallowing problem has caused me to lose weight.
?
     
My swallowing problem interferes with my ability to go out for meals.
?
     
Swallowing liquids takes extra effort.
?
     
Swallowing solids takes extra effort.
?
     
Swallowing pills takes extra effort.
?
     
Swallowing is painful.
?
     
The pleasure of eating is affected by my swallowing.
?
     
When I swallow food sticks in my throat.
?
     
I cough when I eat.
?
     
Swallowing is stressful.
?