1. Nestlé Health Science
  2. Dysphagia Awareness
  3. EAT-10: A Swallowing Screening Tool

EAT-10: A Swallowing Screening Tool

The Eating Assessment Tool 10 (EAT-10) is a list of 10 questions that can be completed in approximately 2 minutes. The questionnaire helps to measure to what extent you may experience swallowing difficulty and your risk of dysphagia. It is a self-administered screener that can be answered by the person experiencing swallowing difficulty, or with the help of a caregiver or healthcare professional.

EAT-10 was developed by the Nestlé Nutrition Institute* and is a clinically recognised self-administered screener for dysphagia. If the EAT-10 score is 3 or higher, you may have problems swallowing efficiently or safely. We recommend downloading the questionnaire and discussing your symptoms and the EAT-10 results with a healthcare professional. A qualified Speech Pathologist can provide a dysphagia assessment.

Instructions

Read each statement and select the number (from 0 to 4) that reflects ‘To what extent do you experience the following problems?’

SYMPTOMS
SCORE
1. My swallowing problem has caused me to lose weight.
?
     
2. My swallowing problem interferes with my ability to go out for meals.
?
     
3. Swallowing liquids takes extra effort.
?
     
4. Swallowing solids takes extra effort.
?
     
5. Swallowing pills takes extra effort.
?
     
6. Swallowing is painful.
?
     
7. The pleasure of eating is affected by my swallowing.
?
     
8. When I swallow food sticks in my throat.
?
     
9. I cough when I eat.
?
     
10. Swallowing is stressful.
?
     

CoMiSS: Cow’s Milk-related Symptom Score

Last name First name
Age Date

PURPOSE

The CoMiSSTM is a simple, fast and easy-to-use awareness tool for non-IgE mediated cows' milk-related symptoms. It increases awareness of the most common symptoms of cows' milk allergy (CMA) that in turn can aid an earlier diagnosis. CoMiSSTM can also be used to evaluate and quantify the evolution of symptoms during a therapeutic intervention.

Symptom Score
1. My swallowing problem has caused me to lose weight.
Text Answer
0
2. My swallowing problem interferes with my ability to go out for meals.
Text Answer
0
3. Swallowing liquids takes extra effort.
Text Answer
0
4. Swallowing solids takes extra effort.
Text Answer
0
5. Swallowing pills takes extra effort.
Text Answer
0
6. Swallowing is painful.
Text Answer
0
7. The pleasure of eating is affected by my swallowing.
Text Answer
0
8. When I swallow food sticks in my throat.
Text Answer
0
9. I cough when I eat.
Text Answer
0
10. Swallowing is stressful.
Text Answer
0
Final result 0

READING THE RESULT

The scoring ranges from 0 to 33. Each symptom has a maximal score of 6, except respiratory symptoms where the maximal score is 3. If final score ≥ 12, the symptoms are likely cow’s milk related. This could potentially be CMPA. If final score <12, the symptoms are less likely related to cow’s milk. Look for other causes. CMPA diagnosis can only be confirmed by an elimination diet followed by an oral food challenge.

Vandenplas, Y., Dupont, C., Eigenmann, P., Host, A., Kuitunen, M., Ribes-Koninck, C., Shah, N., Shamir, R., Staiano, A., Szajewska, H. and Von Berg, A. (2015), A workshop report on the development of the Cow’s Milk-related Symptom Score awareness tool for young children. Acta Paediatrica. doi: 10.1111/apa.12902

company-logo © 2021 Nestlé Health Science

*Reference: The validity and reliability of EAT-10 has been determined.
Belafsky PC, Mouadeb DA, Rees CJ, Pryor JC, Postma GN, Allen J, Leonard RJ. Validity and Reliability of the Eating Assessment Tool (EAT-10). Annals of Otology Rhinology & Laryngology 2008;117(12):919-924.