Voice and speech changes

☐   My voice has become softer or harder for others to hear 

☐  People often ask me to repeat myself 

☐  I feel like I’m speaking loudly, but others say I’m quiet 

☐  My speech sounds monotone or less expressive 

☐ My face feels less expressive 

☐ Swallowing feels harder or less automatic 

☐ Friends or family say I “don’t sound like myself” anymore