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The Vestibular Quiz

Vestibular

Patients will be directed to this quiz if they have symptoms that would require physical therapy. Results will provide patients the opportunity to be in contact with a Vestibular clinician.

Do you get dizzy when you are lying down?
- Yes
- No
Do you get dizzy when you lay on your left or right side?
- Yes
- No
Do you get dizzy when you bend over to tie your shoe?
- Yes
- No
Do you get dizzy when you reach into overhead cabinets?
- Yes
- No
Would you describe your dizziness as "light headed"?
- Yes
- No
Do you find it hard to read while walking?
- Yes
- No
Do you get dizzy in busy environments?
- Yes
- No
Have you been feeling an increased sense of clumsiness when moving around?
- Yes
- No
Do you feel less balanced when walking in low-lit environments?
- Yes
- No
Do you feel off balanced when you're walking and turning your head to look at something or talk to a friend?
- Yes
- No
Is your dizziness associated to nausea or vomiting?
- Yes
- No
Do you get dizzy or nauseous when riding in a car?
- Yes
- No
Are you 18 years or older?*
- Yes
- No
First Name*
Last Name*
What is your email?*
- By clicking this box you agree to receive email communication from Athletico Physical Therapy
Comments
This field is for validation purposes and should be left unchanged.

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Athletico Physical Therapy complies with applicable Federal civil rights laws and does not discriminate on the basis of race, age, religion, sex, national origin, socioeconomic status, sexual orientation, gender identity or expression, disability, veteran status, or source of payment. You will be treated with dignity, compassion, and respect as an individual.

Athletico Physical Therapy cumple con las leyes federales de derechos civiles aplicables y no discrimina por motivos de raza, edad, religión, sexo, origen nacional, condición socioeconómica, orientación sexual, identidad o expresión de género, discapacidad, condición de veterano o fuente de pago. Serás tratado con dignidad, compasión y respeto como individuo.

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Looking for a career in Physical Therapy?
Up to $30k sign-on bonus for eligible positions!

Looking for a career in Physical Therapy?
Up to $30k sign-on bonus for eligible positions!

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