INSTRUCTIONS: The purpose of this scale is to identify difficulties that you may be experiencing because of your dizziness. Please check “always”, or “no” or “sometimes” to each question. Answer each question only as it pertains to your dizziness problem.
155 W. Duval Rd. Green Valley, AZ 85614 Phone: (520) 648-3132 FAX: (520) 648-1861
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