Body image disturbance (BID) is a self-perceived negative change in appearance and or function. Head and neck cancer is associated with BID since head and neck cancer (HNC) involves cosmetically and functionally important areas. BID in HNC patients is common and causes anxiety, depression, social isolation and decreased quality of life. Unfortunately, there is little information with regards to BID in HNC patients. Current research is limited by the lack of a HNC specific BID scale and instead relies on BID scales created for other cancer subsites. Thus, a measurement scale made specifically for BID in HNC patient is needed. The objective of this project is to create and validate a BID scale specific to HNC patients.