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NEUROLOGY QUESTIONNAIRE for patients with DIZZINESS IMBALANCE HEARING PROBLEMS Timothy C. Main, MD Chicago Dizziness and Balance 233 E Erie, Suite 701 Chicago, Illinois, 60611 NAME AGE TODAY IS DATE
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Otoneurology questionnaire - dizziness-and-balancecom is a questionnaire designed to assess dizziness and balance issues in individuals.
Individuals experiencing dizziness or balance problems may be required to fill out the otoneurology questionnaire.
The otoneurology questionnaire can be filled out online or in person by providing relevant information about symptoms and medical history.
The purpose of the otoneurology questionnaire is to help healthcare providers assess and diagnose conditions related to dizziness and balance.
Information such as medical history, current symptoms, medication use, and any recent injuries or illnesses must be reported on the otoneurology questionnaire.
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