The Consensus Auditory- Perceptual Evaluation of Voice (CAPE-V) was used to rate the perceptual quality of the client’s voice. On the day of the examination, Ms. Pepper’s voice overall-severity score was 62, which is in the moderate-severe range. Ms. Pepper’s roughness (64), breathiness (49), and strain (70) are all moderate to severe. Ms. Pepper’s voice could be characterized as moderately hoarse and rough. Ms. Pepper’s pitch (30) ranges in the mild to moderate category. Also, her loudness (5) can be categorized as soft and slightly above normal. During the session, Ms. Pepper’s voice quality remained constant during sustained vowels, oral reading, and counting with only slight fatigue towards the end of the tasks. Throughout the session,
