EAT-10 (Eating Assessment Tool)

2-3 mins

A validated 10-item clinical questionnaire assessing swallowing difficulty, pharyngeal pouch symptoms, and dysphagia severity.

1. Patient Details•2. Symptom Scorecard & Submission

Step 1: Patient Details & Evaluation Stage

Please provide your contact information to associate with this medical self-assessment.

Full Name *

Date of Birth *

Email Address *

Contact Phone *

When are you completing this questionnaire? *

Why complete this questionnaire?

Swallowing difficulties (dysphagia) can arise from pharyngeal pouch, throat sphincter tightness, or neuromuscular changes. Completing the EAT-10 allows Mr Hariri to objectively quantify your swallowing symptoms pre- or post-operatively.