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Gait & Balance Self-Check | Carrasco Pain Institute
Carrasco Pain Institute

Could You Benefit From a Gait & Balance Program?

A quick self-check for balance, strength, walking and mobility concerns

Check every statement that sounds familiar. This self-check is not a diagnosis, but it can help you identify concerns you may want to discuss with a healthcare professional and whether the Carrasco Pain Institute Gait & Balance Program may be worth considering.

How Is Your Balance?

Check the boxes that apply to you.

How Are You Walking?

These symptoms can have many causes. Check any that sound familiar.

Important: If you have new or worsening weakness, repeated falls, fainting, severe dizziness, sudden numbness, loss of bowel or bladder control, or another urgent change in your condition, seek prompt medical evaluation.
This self-check is for general educational purposes only. It does not diagnose lumbar spinal stenosis, fall risk, a balance disorder, or any other medical condition. Exercise programs should be appropriate for your individual health and functional status.