DHI Quiz - Vestibular Therapy Associates

1. Physical

Does looking up increase your problem?

Yes Sometimes No

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

Yes Sometimes No

Does performing more ambitious activities such as sports, dancing, household chores (sweeping or putting dishes away) increase your problems?

Yes Sometimes No

Do quick movements of your head increase your problem?

Yes Sometimes No

Does turning over in bed increase your problem?

Yes Sometimes No

Does walking down a footpath increase your problem?

Yes Sometimes No

Does bending over increase your problem?

Yes Sometimes No

2. Functional

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

Yes Sometimes No

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

Yes Sometimes No

Does your problem significantly restrict your participation in social activities, such as going out to dinner, going to the movies, dancing, or going to parties?

Yes Sometimes No

Because of your problem, do you have difficulty reading?

Yes Sometimes No

Because of your problem, do you avoid heights?

Yes Sometimes No

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

Yes Sometimes No

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

Yes Sometimes No

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

Yes Sometimes No

Does your problem interfere with your job or household responsibilities?

Yes Sometimes No

3. Emotional / Psychological

Because of your problem, do you feel frustrated?

Yes Sometimes No

Because of your problem, are you afraid to leave your home without having someone accompany you?

Yes Sometimes No

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

Yes Sometimes No

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

Yes Sometimes No

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

Yes Sometimes No

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

Yes Sometimes No

Because of your problem, do you feel handicapped?

Yes Sometimes No

Has the problem placed stress on your relationships with members of your family or friends?

Yes Sometimes No

Because of your problem, are you depressed?

Yes Sometimes No

Your DHI Score

0

out of 100

Scores greater than 10 points should be referred to balance specialists for further evaluation.

16–34 Points — mild handicap

36–52 Points — moderate handicap

54+ Points — severe handicap

You can send your completed questionnaire to us for further analysis. Please enter your name and email below and click Submit.

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Reference: Jacobson GP, Newman CW. The development of the Dizziness Handicap Inventory. Arch Otolaryngol Head Neck Surg. 1990 Apr;116(4):424-7.