Balance Patient Self Quiz
Do you experience any of the following?
- A feeling of motion, spinning or falling when moving your head quickly or changing your position? (ex. getting in and out of bed)
YES / NO
- Difficulty getting around in the dark?
YES / NO
- Walking down the grocery store aisles or through the mall is overwhelming?
YES / NO
- Your feet just won't go where you want them to?
YES / NO
- A sense of unsteadiness? A feeling you are not surefooted?
YES / NO
- A fear of falling or stumbling?
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 feeling like you are drifting or being pulled to one side when walking?
YES / NO
- No one really understands how frustrating this is?
YES / NO
If you answered yes to one or more of these questions, a vestibular and equilibrium evaluation should be considered. To schedule an appointment contact us.
