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AUSTIN EAR CLINIC 12319 N. Mopey EX WY, Bldg. C, Ste 300; Austin, TX 78758 (512) 4540341 Dizziness Questionnaire PRINT NAME: DATE: Please CIRCLE your answer to the following questions: When you are

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What is dizziness questionnaire - austin?

Dizziness questionnaire - Austin is a form used to gather information about a person's experience with dizziness or balance issues in the city of Austin.

Who is required to file dizziness questionnaire - austin?

Anyone living in Austin who has experienced dizziness or balance issues is required to fill out the dizziness questionnaire.

How to fill out dizziness questionnaire - austin?

The dizziness questionnaire can be filled out online or in person by providing detailed information about the individual's symptoms and experiences with dizziness.

What is the purpose of dizziness questionnaire - austin?

The purpose of the dizziness questionnaire is to collect data on the prevalence of dizziness and balance issues in the Austin community to assess the need for resources and support.

What information must be reported on dizziness questionnaire - austin?

The dizziness questionnaire may ask for information about the frequency and duration of dizziness episodes, any associated symptoms, triggers, and impact on daily life.

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