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Test Your Dizziness

Dizziness Handicap Inventory

Dizziness Handicap Inventory (DHI)

Current Score: 0

1. Does looking up increase your problem?

Yes Sometimes No

2. Does walking down the aisle of a supermarket increase your problem?

Yes Sometimes No

3. Does performing activities such as sports, dancing or chores increase your problem?

Yes Sometimes No

4. Do quick movements of your head increase your problem?

Yes Sometimes No

5. Does turning over in bed increase your problem?

Yes Sometimes No

6. Does walking down a footpath increase your problem?

Yes Sometimes No

7. Does bending over increase your problem?

Yes Sometimes No

8. Because of your problem, do you restrict your travel for business or pleasure?

Yes Sometimes No

9. Because of your problem, do you have difficulty getting into or out of bed?

Yes Sometimes No

10. Does your problem significantly restrict your participation in social activities?

Yes Sometimes No

11. Because of your problem, do you have difficulty reading?

Yes Sometimes No

12. Because of your problem, do you avoid heights?

Yes Sometimes No

13. Because of your problem, is it difficult for you to do strenuous housework or yard work?

Yes Sometimes No

14. Because of your problem, is it difficult for you to go for a walk by yourself?

Yes Sometimes No

15. Because of your problem, is it difficult for you to walk around your house in the dark?

Yes Sometimes No

16. Does your problem interfere with your job or household responsibilities?

Yes Sometimes No

17. Because of your problem, do you feel frustrated?

Yes Sometimes No

18. Because of your problem, are you afraid to leave your home without someone accompanying you?

Yes Sometimes No

19. Because of your problem, have you been embarrassed in front of others?

Yes Sometimes No

20. Because of your problem, are you afraid people may think you are intoxicated?

Yes Sometimes No

21. Because of your problem, is it difficult for you to concentrate?

Yes Sometimes No

22. Because of your problem, are you afraid to stay home alone?

Yes Sometimes No

23. Because of your problem, do you feel handicapped?

Yes Sometimes No

24. Has the problem placed stress on your relationships with family or friends?

Yes Sometimes No

25. Because of your problem, are you depressed?

Yes Sometimes No

Your Score: 0

Interpretation

0–16 = Mild Handicap

18–52 = Moderate Handicap

54+ = Severe Handicap

Email Questionnaire to Clinic. You can send your completed questionnaire to us for further analysis during your appointment.

Name Email

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DizzyCare Clinic

Oaktree House, Oaktree Rise,

Codsall, Wolverhampton

WV8 1DP