Dizziness History Questionnaire - MD Neurology
dizziness? YES NO Did you have cough, lift, sneeze, fly in a plane, swim under water, or have a head trauma shortly before the onset of your dizziness? YES NO If you had head trauma prior to your dizziness, did you lose consciousness completely? YES NO Were you exposed to any irritating fumes, paints, etc. at the onset of your dizziness? YES NO ................
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