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Dizziness Questionnaire

Are you experiencing Dizziness?  Complete our Questionnaire to find out.

A feeling of motion, spinning or falling when moving your head quickly or changing your position? (e.g.. Getting in and out of bed)
Yes
No
Uncomfortable trying to get around in the dark?
Yes
No
A feeling like you are drifting or being pulled to one side when walking?
Yes
No
Your feet just won't go where you want them to?
Yes
No
Looking at moving objects such as escalators or looking out the side window of a car makes you queasy?
Yes
No
Difficulty keeping your balance as you walk on different surfaces? (Ex. Tile to carpet)
Yes
No
A sense of unsteadiness? A feeling you are not sure footed?
Yes
No
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