Balance Self-Test

Answer the following questions to determine if you may have a balance problem or vestibular disorder:

• Have you fallen more than once in the past year?
• Do you take medicine for two or more of the following diseases: heart disease, hypertension, arthritis, anxiety and depression?
• Do you need to climb a flight or more of steps each day?
• Do you have dizziness or balance problems frequently?
• Do you have blackouts or seizures?
• Do you sometimes take unnecessary risks?
• Have you experienced a stroke or other neurological problem that has affected your balance?
• Do you experience numbness or loss of sensation in your legs and/or feet?
• Do you use a walker or wheelchair, or do you need assistance to get around?
• Are you inactive? (Answer yes if you do not participate in a regular form of exercise, such as walking or exercising 20-30 minutes at least three times week).
• Do you feel unsteady when you are walking?

If you answered yes to one or more of these questions, you may have a balance problem and may want to talk to your doctor.

To make an appointment, call our main scheduling center at(503) 261-6962or have your provider fax a referral to the service area clinic, or fill out our online formhere.
Fax Number: (503) 261-6673