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Paul E. Hammerschlag, M.D., F.A.C.S. TH 650 First Avenue 6 Floor New York, NY 10016 (212) 8892600 DIZZINESS/VERTIGO QUESTIONNAIRE Name: Date: SECTION 1: When you are dizzy do you experience any of
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How to Fill Out the DizzinessVertigo Questionnaire - New?

01
Start by reading the instructions carefully. Familiarize yourself with the purpose of the questionnaire and the specific information it aims to collect.
02
Provide accurate personal information. Fill in your name, contact details, and other identifying information as required.
03
Answer all the questions honestly. The questionnaire is designed to gather information related to dizziness and vertigo symptoms, so provide as much detail as possible about your experiences. Do not skip any questions unless instructed otherwise.
04
Use additional space if necessary. If the questionnaire does not provide enough space for your responses, feel free to use additional pages or attachments. Make sure to clearly label any additional information you provide.
05
Seek clarification if needed. If you have any doubts or are unsure about certain questions, don't hesitate to ask for clarification from the healthcare professional or researcher administering the questionnaire.
06
Follow any specific instructions for submitting the questionnaire. This may include mailing it back, handing it in at a specific location, or submitting it electronically.

Who Needs the DizzinessVertigo Questionnaire - New?

01
Individuals experiencing dizziness and vertigo symptoms. The questionnaire is designed to assess and gather information specifically related to dizziness and vertigo, making it suitable for anyone who has experienced these symptoms.
02
Medical professionals and researchers. The questionnaire serves as a valuable tool for healthcare professionals and researchers studying dizziness and vertigo. By collecting standardized information, it helps in analyzing patterns, identifying potential causes, and developing effective treatment approaches.
03
Clinics and hospitals specializing in vestibular disorders. Facilities that specialize in diagnosing and treating balance disorders, such as vertigo, can utilize the questionnaire to gather comprehensive patient information. This aids in accurate diagnosis and appropriate treatment planning.
Remember, it is essential to consult a healthcare professional if you are experiencing dizziness or vertigo symptoms, as they can provide personalized advice and guidance based on your specific situation. The questionnaire may be used as a supplementary tool in the diagnostic process.
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