LPR-22 Questionnaire

Rate each symptom from 0 (No problem) to 5 (Worst possible)
Based on symptoms over the last 2 weeks

Throat & Voice Symptoms

1. Frequent throat clearing

2. Sensation of lump in throat (globus)

3. Hoarseness or voice change

4. Voice fatigue or reduced voice endurance

5. Throat irritation or burning

6. Excess mucus in throat

Swallowing Symptoms

7. Difficulty swallowing solids

8. Difficulty swallowing liquids

9. Sensation of food sticking in throat

10. Chronic cough

11. Cough after meals

12. Night-time cough

13. Morning cough or throat symptoms on waking

14. Heartburn

15. Acid or bitter taste in mouth

16. Regurgitation of food or liquid

17. Chest discomfort related to meals

18. Symptoms worse on lying down

19. Disturbed sleep due to throat symptoms

20. Daytime fatigue related to poor sleep

21. Anxiety related to throat symptoms

22. Impact of symptoms on daily activities