Patient Self Quiz

90 Million Americans will experience dizziness or balance problems
sometime in their lives. Listed below are common complaints
or problems reported by patients.

Have you ever felt....?

1	YES	NO	A feeling of motion, spinning, or falling when moving your head quickly, or changing your position, e.g. getting in and out of bed?
2	YES	NO	Uncomfortable trying to get around in the dark?
3	YES	NO	Walking down grocery store aisles or through the mall is upsetting?
4	YES	NO	Your feet just won't go where you want them to?
5	YES	NO	A sense of unsteadiness? A feeling you are not surefooted?
6	YES	NO	A fear of falling or stumbling?
7	YES	NO	Looking at moving objects such as escalators or looking out the side window of a car makes you queasy?
8	YES	NO	Difficulty keeping your balance as you walk on different surfaces, e.g. tile to carpet?
9	YES	NO	A feeling like you are drifting or being pulled to one side when walking?
10	YES	NO	No one really understands how frustrating all this is?

If you have answered a yes to one or more of these questions,
a vestibular and equilibrium evaluation should be considered.