Communication Confidence Rating Scale for Aphasia

The Communication Confidence Rating Scale (CCRS or CRSA) is a brief self-report measure of perceived communication self-efficacy and confidence in communication situations among adults with aphasia. Unlike objective measures of language ability (Boston Diagnostic Aphasia Examination) or quality-of-life impact (Aphasia Impact Questionnaire), the CCRS focuses specifically on confidence—the degree to which a person with aphasia believes they can successfully communicate in everyday scenarios. High CCRS scores reflect psychological readiness to engage in communication despite linguistic deficits; low scores indicate anxiety and avoidance despite preserved communication ability.