Dizziness and Fall Risk Questionnaire

Do you suffer from dizziness/vertigo, or feel you are you at risk of falling?

There is help for your symptoms!

Answer the questions below to receive a free report regarding your symptoms.

Enter your name and email address to receive your results.

Dr Shumrick personally reviews all submissions and responds to you via email 

Disclaimer: This should not be used as a diagnostic tool but as an educational tool for consideration of assessment and treatment. These questions are based on actual patient dizziness and balance complaints and symptoms common in our clinics. Dizziness, vertigo, and balance problems are not identified or helped by simple testing (MRIs, etc) or medications. Rather, a full functional assessment is required to identify your problems so an individualized treatment plan can be created and tailored to meet your specific needs.  

Please answer the following questions.