Trans-sexual Voice Questionnaire (TVQ) for Male-to-Female Trans-sexuals (MtF) People have difficulty hearing me in a noisy room. 1 2 3 4 None I feel anxious when I know I have to use my voice. 1 2 3 4 None My voice makes me feel less feminine than I would like. 1 2 3 4 None The pitch of my speaking voice is too low. 1 2 3 4 None The pitch of my voice is unreliable. 1 2 3 4 None My voice makes it hard for me to be identified as a woman. 1 2 3 4 None When I speak the pitch of my voice does not vary enough. 1 2 3 4 None I feel uncomfortable talking to friends, neighbours, and relatives because of my voice. 1 2 3 4 None I avoid speaking in public because of my voice. 1 2 3 4 None My voice sounds artificial. 1 2 3 4 None I have to concentrate to make my voice sound the way I want it to sound. 1 2 3 4 None I feel frustrated with trying to change my voice. 1 2 3 4 None My voice difficulties restrict my social life. 1 2 3 4 None When I am not paying attention my pitch goes down. 1 2 3 4 None When I laugh I sound like a man. 1 2 3 4 None My voice doesn’t match my physical appearance. 1 2 3 4 None I use a great deal of effort to produce my voice. 1 2 3 4 None My voice gets tired quickly. 1 2 3 4 None My voice restricts the sort of work I do. 1 2 3 4 None I feel my voice does not reflect the ‘true me’. 1 2 3 4 None I am less outgoing because of my voice. 1 2 3 4 None I feel self-conscious about how strangers perceive my voice. 1 2 3 4 None My voice ‘gives out’ in the middle of speaking. 1 2 3 4 None It distresses me when I’m perceived as a man because of my voice. 1 2 3 4 None The pitch range of my speaking voice is restricted. 1 2 3 4 None First Name Surname DOB Email Phone number Please contact me by email Please contact me by phone Time's up