Table 1 The questionnaire used in this study

1. What is your age?

__________________________(years)

2. What is your gender?

Male□_________ Female□_

3. What is your current weight?

__________________________(Kg)

4. What is your height?

__________________________(cm)

Are you smoker

Yes□_________ No□_

Are you alcoholic

Yes□_________ No□_

Do you complain any of the following diseases?

Coronary artery disease

Yes□_________ No□_

Congestive heart failure

Yes□_________ No□_

Cardiac arrhythmia

Yes□_________ No□_

Hypertension

Yes□_________ No□_

Hyperlipidemia

Yes□_________ No□_

Diabetes

Yes□_________ No□_

Cerebrovascular accident

Yes□_________ No□_

Pulmonary disorders

Yes□_________ No□_

Chronic renal insufficiency

Yes□_________ No□_

Thyroid disorders

Yes□_________ No□_

Irritable bowel syndrome

Yes□_________ No□_

Inflammatory bowel disease

Yes□_________ No□_

Other GI disorders

Yes□_________ No□_

Within the last month, how did the following problems affect you? 0 = No problem, 5 = Severe problem

0

1

2

3

4

5

1. Hoarseness or a problem with your voice

2. Clearing your throat

3. Excess throat mucus or postnasal drip

4. Difficulty swallowing food, liquid, or pills

5. Coughing after you ate or after lying down

6. Breathing difficulties or choking episodes

7. Troublesome or annoying cough

8. Sensation of something sticking in your throat or a lump in your throat

9. Heartburn, chest pain, indigestion, or stomach acid coming up

Total (RSI > 13 = Abnormal )