Before You Begin

1. You are fully alert and able to remain awake throughout the task.
2. You can breathe comfortably without severe respiratory issues (for example, no tracheostomy tube dependence).
3. You can sit upright at approximately a 30° angle or higher (your normal eating position).

If any of the above are not true, or if you are unsure, skip this step for your safety.

How the Challenge Works

1. Prepare 3 ounces (90 ml or 18 teaspoons) of water in a cup.
2. When you are ready, drink the entire amount continuously, without stopping.
3. Pay attention to how your body responds during the task. 

 

Now, please do the challenge.

You passed if you drank the full 3 oz 

• Without stopping
• You drank the full 3 ounces

You did not pass if you

• Needed to stop drinking for any reason (breath, discomfort, pace)
• You had to break the water into smaller sips
• You coughed, choked, gagged, throat-cleared, or felt like you were choking
• Sensed water "went down the wrong way."

EAT-10 Score

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Reflux Symptom Index (RSI)

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PILL-5 Score

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Yale Swallow Challenge

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