Questionnaire to complete before beginning the SSEP Online Course

Before you start the SSEP online course, please fill in the questionnaire below.

Your answers will help us to assess your progress and to further improve the course for future students.

If you would prefer to fill in this questionnaire anonymously, please type a nickname into the "name" box. Please remember this nickname, and use it again on all future questionnaires. (this will enable us to match the questionnaires up so we can assess your progress.

All responses submitted to this questionnaire will be treated as strictly confidential and will not be passed on to any third parties. This questionnaire takes about 30 minutes to complete

There are 35 questions in all. The first 20 are to collect some general background information about you and your stuttering. The last 15 constitute the OASES self-assessment of stuttering severity (Yaruss & Quesal, 2006)

After filling in the questionnaire, don’t forget to press the Submit button, otherwise we will not receive it!

Name


A red asterisk (*) indicates required questions.


Email


Age*


gender*
male
female


What is the highest level of educational qualification you have?
(If your qualifications differ from those listed, please highlight the nearest match)*
GCSE (USA-High School Diploma) - approx age 16
'A' level (USA- APs) - approx age 18
Diploma (USA-Associate degree)
First Degree
Post-graduate degree


is English your first language?*
yes
no


are you bilingual (or more)?*
yes
no


Occupation*


Have you ever had any of the following conditions that affect speech and communication?
(please select any that apply or, if none apply, move on to the next question).
Dyslexia
Dysarthria
Cluttering
Spasmodic dysphonia
Apraxia of speech (or verbal dyspraxia)
Hearing impairment
Tourette's
Speech sound disorder (e.g. lisping)
Word-finding difficulties
Cleft lip or palate


Have you ever had any other conditions (i.e., other than those listed above) that have affected your speech and communication? If so, please give details


Have any of your family (brothers, sisters, parents or children) ever stuttered, or had any other conditions that have affected their speech and communication? If so, please give details


Do you suffer from social anxiety?*
yes
no


If there is anything else that you feel we need to know about your general health, please give details.


Approximately how old (in years) were you when you started stammering?*


How many months did your longest ever experience of remission last?
(i.e., when it more or less completely disappeared).
If less than one month, use decimals, or enter zero if you have never experienced remission.*


Have you ever had any therapy for stammering?*
Yes
No


If yes, then please give very brief details (not more than 100 words)


Are there any particular words or situations you go out of your way to avoid?*
Yes
No


If yes, then please give very brief details
(not more than 100 words)


OASES: Overall Assessment of the Speaker's Experience of Stuttering (adapted from Yaruss & Quesal, 2006)
Instructions.
This test consists of four sections that examine different aspects of your experience of stuttering.
Please complete all sections.
Section 1: General Information

A. General information about your speech

Please respond to each item by selecting the appropriate number.
If an item does not apply to you, select N/A and move on to the next item.

1=Always 2=Frequently 3=Sometimes 4=Rarely 5=Never

*

        1 2 3 4 5       N/A
  1. How often are you able to speak fluently? Always Never  
  2. How often does your speech sound "natural" to you (i.e., like the speech of other people)? Always Never  
  3. How consistently are you able to maintain fluency from day to day? Always Never  
  4. How often do you use techniques, strategies, or tools you learned in speech therapy? Always Never  
  5. How often do you say exactly what you want to say even if you think you might stutter? Always Never  


B. How knowledgeable are you about...?

1=Extremely 2=Very 3=Somewhat 4=A Little 5=Not At All

*

        1 2 3 4 5       N/A
  1. Stuttering in general Extremely Not at all  
  2. Factors that affect stuttering Extremely Not at all  
  3. What happens with your speech when you stutter Extremely Not at all  
  4. Treatment options for people who stutter Extremely Not at all  
  5. Self-help or support groups for people who stutter Extremely Not at all  


C. Overall, how do you feel about...?

1=Very Positively 2=Somewhat Positively 3=Neutral 4=Somewhat Negatively 5=Very Negatively

*

        1 2 3 4 5       N/A
  1. Your speaking ability Very Positively Very Negatively  
  2. Your ability to communicate (i.e., to get your message across regardless of your fluency) Very Positively Very Negatively  
  3. The way you sound when you speak Very Positively Very Negatively  
  4. Techniques for speaking fluently (e.g., techniques learned in therapy)? Very Positively Very Negatively  
  5. Your ability to use techniques you learned in speech therapy? Very Positively Very Negatively  
  6. Being a person who stutters Very Positively Very Negatively  
  7. The speech therapy program you attended most recently Very Positively Very Negatively  
  8 Being identified by other people as a stutterer/person who stutters? Very Positively Very Negatively  
  9. Variations in your speech fluency in different situations Very Positively Very Negatively  
  10. Self-help or support groups for people who stutter Very Positively Very Negatively  


Section 2: Your Reactions to Stuttering

A. When you think about your stuttering, how often do you feel...?

1=Never 2=Rarely 3=Sometimes 4=Frequently 5=Always

*

        1 2 3 4 5       N/A
  1. helpless Never Always  
  2. angry Never Always  
  3. ashamed Never Always  
  4. lonely Never Always  
  5. anxious Never Always  
  6. depressed Never Always  
  7. defensive Never Always  
  8. embarrassed Never Always  
  9. guilty Never Always  
  10. frustrated Never Always  


B. How often do you...?

1=Never 2=Rarely 3=Sometimes 4=Frequently 5=Always

*

        1 2 3 4 5       N/A
  1. Experience physical tension when stuttering Never Always  
  2. Experience physical tension when speaking fluently Never Always  
  3. Exhibit eye blinks, facial grimaces, arm movements, etc. when stutering Never Always  
  4. Break eye contact or avoid looking at your listener Never Always  
  5. Avoid speaking in certain situations or to certain people Never Always  
  6. Leave a situation because you think you might stutter Never Always  
  7. Not say what you want to say (e.g., avoid or substitute words, refuse to answer questions, order something you do not want because it is easier to say) Never Always  
  8. Use filler words or starters (e.g. "um", clearing throat). or change something about your speech (e.g., use an accent) to be more fluent (Note: this does not refer to techniques you may have learned in therapy.) Never Always  
  9. Experience a period of increased stuttering just after you stutter on a word Never Always  
  10. Let somebody else speak for you Never Always  


C. To what extent do you agree or disagree with the following statements?

1=Strongly Disagree 2=Somewhat Disagree 3=Neutral 4=Somewhat Agree 5=Strongly Agree

*

        1 2 3 4 5       N/A
  1. I think about my stuttering nearly all the time Strongly Disagree Strongly Agree  
  2. People's opinions about me are based primarily on how I speak Strongly Disagree Strongly Agree  
  3. If I did not stutter, I would be better able to achieve my goals in life. Strongly Disagree Strongly Agree  
  4. I do not want people to know that I stutter. Strongly Disagree Strongly Agree  
  5. When I am stuttering, there is nothing I can do about it. Strongly Disagree Strongly Agree  
  6. People should do everything they can do to keep themselves from stuttering Strongly Disagree Strongly Agree  
  7. People who stutter should not take jobs that require a lot of speaking. Strongly Disagree Strongly Agree  
  8. I do not speak as well as most other people. Strongly Disagree Strongly Agree  
  9. I cannot accept the fact that I stutter. Strongly Disagree Strongly Agree  
  10. I do not have confidence in my abilities as a speaker. Strongly Disagree Strongly Agree  


Section 3: Communication in Daily Situations

In this section, indicate how much difficulty you experience in these situations, not how fluent you are

A. How difficult is it for you to communicate in the following general situations?

1=Not at all Difficult 2=Not very Difficult 3=Somewhat Difficult 4=Very Difficult 5=Extremely Difficult

*

        1 2 3 4 5       N/A
  1. Talking with another person "one-to-one" Not at all Difficult Extremely Difficult  
  2. Talking while under time pressure Not at all Difficult Extremely Difficult  
  3. Talking in front of a small group of people Not at all Difficult Extremely Difficult  
  4. Talking in front of a large group of people Not at all Difficult Extremely Difficult  
  5. Talking with people you do know well (e.g., friends) Not at all Difficult Extremely Difficult  
  6. Talking with people you do not know well (e.g., strangers) Not at all Difficult Extremely Difficult  
  7. Talking on the telephone in general Not at all Difficult Extremely Difficult  
  8. Initiating conversations with other people (e.g., introducing yourself) Not at all Difficult Extremely Difficult  
  9. Continuing to speak regardless of how your listener responds to you Not at all Difficult Extremely Difficult  
  10. Standing up for yourself verbally (e.g. defending your opinion, challenging someone who cuts in line in front of you) Not at all Difficult Extremely Difficult  


B. How difficult is it for you to communicate in the following situations at work?

1=Not at all Difficult 2=Not very Difficult 3=Somewhat Difficult 4=Very Difficult 5=Extremely Difficult

*

        1 2 3 4 5       N/A
  1. Using the telephone at work Not at all Difficult Extremely Difficult  
  2. Giving oral presentations or speaking in front of other people at work Not at all Difficult Extremely Difficult  
  3. Talking with co-workers or other people you work with (e.g., participating in meetings) Not at all Difficult Extremely Difficult  
  4. Talking with customers or clients Not at all Difficult Extremely Difficult  
  5. Talking with your supervisor or boss Not at all Difficult Extremely Difficult  


C. How difficult is it for you to communicate in the following social situations?

1=Not at all Difficult 2=Not very Difficult 3=Somewhat Difficult 4=Very Difficult 5=Extremely Difficult

*

        1 2 3 4 5       N/A
  1. Participating in social events (e.g., making "small talk" at parties) Not at all Difficult Extremely Difficult  
  2. Telling stories or jokes Not at all Difficult Extremely Difficult  
  3. Asking for information (e.g., asking for directions or other people's opinions Not at all Difficult Extremely Difficult  
  4. Ordering food in a restaurant Not at all Difficult Extremely Difficult  
  5. Ordering food at a drive-thru Not at all Difficult Extremely Difficult  


D. How difficult is it for you to communicate in the following situations at home?

1=Not at all Difficult 2=Not very Difficult 3=Somewhat Difficult 4=Very Difficult 5=Extremely Difficult

*

        1 2 3 4 5       N/A
  1. Using the telephone at home Not at all Difficult Extremely Difficult  
  2. Talking to your spouse / significant other Not at all Difficult Extremely Difficult  
  3. talking to your children Not at all Difficult Extremely Difficult  
  4. Talking to members of your extended family Not at all Difficult Extremely Difficult  
  5. Taking part in family discussions Not at all Difficult Extremely Difficult  


Section 4: Quality of Life

A. How much is your overall quality of life negatively affected by...?

1=Not at all 2=A Little 3=Somewhat 4=A Lot 5=Completely

*

        1 2 3 4 5       N/A
  1. Your stuttering Not at all Completely  
  2. Your reactions to your stuttering Not at all Completely  
  3. Other people's reactions to your stuttering Not at all Completely  


B. Overall, how much does stuttering interfere with your satisfaction with communication...?

1=Not at all 2=A Little 3=Somewhat 4=A Lot 5=Completely

*

        1 2 3 4 5       N/A
  1. In general Not at all Completely  
  2. at work Not at all Completely  
  3. In social situations Not at all Completely  
  4. At home Not at all Completely  


C. Overall, how much does stuttering interfere with your...?

1=Not at all 2=A Little 3=Somewhat 4=A Lot 5=Completely

*

        1 2 3 4 5       N/A
  1. Relationships with family Not at all Completely  
  2. Relationships with friends Not at all Completely  
  3. Relationships with other people Not at all Completely  
  4. Intimate relationships Not at all Completely  
  5. Ability to function in society Not at all Completely  


D. Overall, how much does stuttering interfere with your...?

1=Not at all 2=A Little 3=Somewhat 4=A Lot 5=Completely

*

        1 2 3 4 5       N/A
  1. Ability to do your job Not at all Completely  
  2. Satisfaction with your job Not at all Completely  
  3. Ability to advance in your career Not at all Completely  
  4. Educational opportunities Not at all Completely  
  5. Ability to earn as much as you feel you should Not at all Completely  


E. Overall, how much does stuttering interfere with your...?

1=Not at all 2=A Little 3=Somewhat 4=A Lot 5=Completely

*

        1 2 3 4 5      
  1. Sense of self-worth or self-esteem Not at all Completely  
  2. Overall outlook on life Not at all Completely  
  3. Confidence in yourself Not at all Completely  
  4. Enthusiasm for life Not at all Completely  
  5. Overall health and physical well-being Not at all Completely  
  6. Overall stamina or energy level Not at all Completely  
  7. Sense of control over your life Not at all Completely  
  8. Spiritual well-being Not at all Completely