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Measuring how dizziness impacts your life

The below questionnaire is used by clinicians to quantify the impact of dizziness on your daily activities. It has been used by researchers across the world and has been proven to be very reliable in many settings. The interpretation of these results require specialized training, so please work with your clinician to better understand your score.

Tell us about your Dizziness

Please mark the box Yes, Sometimes, or No to each question as it relates to your dizziness.

Looking for a printable version?

Our design team has made improvements to the visual design of the standard questionnaire and we are providing this free of charge. This information is relevant for clinicians looking to improve their understanding of the impact that dizziness has had on your daily activities. Download the printable version of the dizziness questionnaire.