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Drooling Impact Scale

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marina calac
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53 views1 page

Drooling Impact Scale

Uploaded by

marina calac
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as PDF, TXT or read online on Scribd
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The Drooling Impact Scale

Over the past week:

1 How frequently did your child dribble?

Not at all 1 2 3 4 5 6 7 8 9 10 Constantly

2 How severe was the drooling?

Remained dry 1 2 3 4 5 6 7 8 9 10 Profuse

3 How many times a day did you have to change bibs or clothing due to drooling?

Once or not at all 1 2 3 4 5 6 7 8 9 10 10 or more

4 How offensive was the smell of the saliva on your child?

Not offensive 1 2 3 4 5 6 7 8 9 10 Very offensive

5 How much skin irritation has your child had due to drooling?

None 1 2 3 4 5 6 7 8 9 10 Severe rash

6 How frequently did your child’s mouth need wiping?

Not at all 1 2 3 4 5 6 7 8 9 10 All the time

7 How embarrassed did your child seem to be about his/her dribbling?

Not at all 1 2 3 4 5 6 7 8 9 10 Very embarrassed

8 How much do you have to wipe or clean saliva from household items e.g. toys, furniture, computers, etc?

Not at all 1 2 3 4 5 6 7 8 9 10 All the time

9 To what extent did your child’s drooling affect his or her life?

Not at all 1 2 3 4 5 6 7 8 9 10 Greatly

10 To what extent did your child’s dribbling affect you and your family’s life?

Not at all 1 2 3 4 5 6 7 8 9 10 Greatly

Disclosure: This document has been reproduced by the International Sialorrhoea Steering Group (ISSG), with permission from Wiley. Permission has
been given by Wiley for the no cost use of this document by professionals in healthcare services and impacted parents to evaluate and monitor
drooling saliva, and response to treatment. Specific permission from Wiley is required for any other use of this document (or its content), particularly
for any funded or commercial use, which is not permitted.

Reference: Reid, S. M. Johnson, H. M. Reddihough, D. S.. The Drooling Impact Scale: a measure of the impact of
drooling in children with developmental disabilities. Developmental Medicine and Child Neurology. 2010;52(2): e23‑e28

GB-CPL-061-076 April 2024

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