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.

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• 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