Dizziness Handicap Inventory (DHI)

Patient Name

First Last

Date

Instructions

The purpose of this scale is to identify difficulties that you may be experiencing because of your dizziness or unsteadiness. Please answer "always", "no", or "sometimes" to each question. ANSWER EACH QUESTION AS IT PERTAINS TO YOUR DIZZINESS OR UNSTEADINESS ONLY.

1. Does looking up increase your problem? (P)

Always
No
Sometimes

2. Because of your problem, do you feel frustrated ? (E)

Always
No
Sometimes

3. Because of your problem, do you restrict your travel for business or recreation? (F)

Always
No
Sometimes

4. Does walking down the aisle of a supermarket increase your problem? (P)

Always
No
Sometimes

5. Because of your problem, do you have difficulty getting into or out of bed? (F)

Always
No
Sometimes

6. Does you problem significantly restrict your participation in social activities such as going out to dinner, the movies, dancing, or parties? (F)

Always
No
Sometimes

7. Because of your problem, do you have difficulty reading? (F)

Always
No
Sometimes

8. Does performing more ambitious activities such as sports or dancing or household chores such as sweeping or putting dishes away increase your problem? (P)

Always
No
Sometimes

9. Because of you problem, are you afraid to leave you home without having someone accompany you? (E)

Always
No
Sometimes

10. Because of your problem, are you embarrassed in front of others? (E)

Always
No
Sometimes

11. Do quick movements of your head increase your problem? (P)

Always
No
Sometimes

12. Because of you problem, do you avoid heights? (F)

Always
No
Sometimes

13. Does turning over in you bed increase your problem? (P)

Always
No
Sometimes

14. Because of you problem, is it difficult for you to do strenuous housework or yard work? (F)

Always
No
Sometimes

15. Because of you problem, are you afraid people may think you are intoxicated? (E)

Always
No
Sometimes

16. Because of you problem, is it difficult for you to walk by yourself? (F)

Always
No
Sometimes

17. Does walking down a sidewalk increase your problem? (P)

Always
No
Sometimes

18. Because of you problem, is it difficult for you to concentrate? (E)

Always
No
Sometimes

19. Because of your problem, is it difficult for you to walk around your house in the dark? (F)

Always
No
Sometimes

20. Because of your problem, are you afraid to stay at home alone? (E)

Always
No
Sometimes

21. Because of your problem, do you feel handicapped? (E)

Always
No
Sometimes

22. Has you problem placed stress on you relationships with members of you family or friends? (E)

Always
No
Sometimes

23. Because of you problem, are you depressed? (E)

Always
No
Sometimes

24. Does your problem interfere with your job or household responsibilities? (F)

Always
No
Sometimes

25. Does bending over increase your problem? (P)

Always
No
Sometimes

Total DHI Score

100-70 = severe perception of having a handicap 69-40 = moderate perception of handicap 39-0 = low perception of handicap

Call Us

Email Us

Dizziness Handicap Inventory

Instructions

Categories

ONLINE HASSLE FREE APPOINTMENT BOOKING

Presets Color