Trans Woman Voice Questionnaire (TWVQ)
Based on your actual experience of living as a female, please tick the response that fits you best.
Rating Scale 1 = never or rarely 2 = sometimes 3 = often 4 = usually or always

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What is your name? *
1. People have difficulty hearing me in a noisy room. *
Never/rarely
Usually/always
2. I feel anxious when I know I have to use my voice. *
Never/rarely
Usually/always
3. My voice makes me feel less feminine than I would like.   *
Never/rarely
Usually/always
4. The pitch of my speaking voice is too low.   *
Never/rarely
Usually/always
5. The pitch of my voice is unreliable.   *
Never/rarely
Usually/always
6. My voice gets in the way of me living as a woman. *
Never/rarely
Usually/always
7. I avoid using the phone because of my voice. *
Never/rarely
Usually/always
8. I’m tense when talking with others because of my voice. *
Never/rarely
Usually/aways
9. My voice gets croaky, hoarse or husky when I try to speak in a female voice. *
Never/rarely
Usually/always
10. My voice makes it hard for me to be identified as a woman. *
Never/rarely
Usually/always
11. When I speak the pitch of my voice does not vary enough. *
Never/rarely
Usually/always
12. I feel uncomfortable talking to friends, neighbours and relatives because of my voice. *
Never/rarely
Usually/always
13. I avoid speaking in public because of my voice. *
Never/rarely
Usually/always
14. My voice sounds artificial.   *
Never/rarely
Usually/always
15. I have to concentrate to make my voice sound the way I want it to sound. *
Never/rarely
Usually/always
16. I feel frustrated with trying to change my voice.     *
Never/rarely
Usually/always
17. My voice difficulties restrict my social life. *
Never/rarely
Usually/always
18. When I am not paying attention my pitch goes down. *
Never/rarely
Usually/always
19. When I laugh I sound like a man. *
Never/rarely
Usually/always
20. My voice doesn’t match my physical appearance. *
Never/rarely
Usually/always
21. I use a great deal of effort to produce my voice.   *
Never/rarely
Usually/always
22. My voice gets tired quickly.   *
Never/rarely
Usually/always
23. My voice restricts the sort of work I do.     *
Never/rarely
Usually/always
24. I feel my voice does not reflect the ‘true me’.   *
Never/rarely
Usually/always
25. I am less outgoing because of my voice.   *
Never/rarely
Usually/always
26. I feel self-conscious about how strangers perceive my voice.   *
Never/rarely
Usually/always
27. My voice ‘gives out’ in the middle of speaking. *
Never/rarely
Usually/always
28. It distresses me when I’m perceived as a man because of my voice.   *
Never/rarely
Usually/always
29. The pitch range of my speaking voice is restricted.   *
Never/rarely
Usually/always
30. I feel discriminated against because of my voice.   *
Never/rarely
Usually/always
Please provide an overall rating of your voice:
Currently, my voice is: *
My ideal voice would sound: *
Trans Woman Voice Questionnaire  (© 2012, Dacakis and Davies)
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