Page 49 - Portuguese Journal - SPORL - Vol 61. Nº1

Figure 1
Vanderbilt Pediatric Dizziness Handicap Inventory for Patient Caregivers (DHI-PC) (original version) 1

Name: Date:
VANDERBILT PEDIATRIC DIZZINESS HANDICAP INVENTORY (DHI)
(Age 5 - 12)
Instructions: The purpose of this questionnaire is to identify difficulties that your child may be experiencing
because of his or her dizziness or unsteadiness. Please answer "yes", "no" or "sometimes" to each question.
Answer each question as it pertains to your child's dizziness problem only.
Yes (4) Sometimes (2) No (0)
1. Does your child's problem make him/her feel tired?

2. Is your child's life ruled by his/her problem?
3. Does your child's problem make it difficult for him/her to play?

4. Because of his/her problem, does your child feel frustated?

5. Because of his/her problem, has your child been embarrassed
in front of others?
6. Because of his/her problem, is it difficult for your child to
concentrate?
7. Because of his/her problem, is your child tense?
8. Do other people seem irritated with your child's problem?

9. Because of his/her problem, does your child worry?
10. Because of his/her problem, does your child feel angry?

11. Because of his/her problem, does your child feel ‘’down’’?

12. Because of his/her problem, does your child feel unhappy?
13. Because of his/her problem, does your child feel
different from other children?
14. Does your child’s problem significantly restrict his/her
participation in social or educational activities, such as going
to dinner, meeting with friends, field trips, or to parties?
15. Because of your child’s problem, is it difficult for him/her
to walk around the house in the dark?
16. Because of his/her problem, does your child have difficulty
walking up stairs?
17. Because of his/her problem, does your child have difficulty
walking one or two blocks?
18. Because of his/her problem, does your child have difficulty
riding a bike or scooter?
19. Because of his/her problem, does your child have difficulty
reading or doing schoolwork?
20. Does your child’s problem make it difficult to successfully
do activities that others his/her age can do?
21. Because of his/her problem, does your child have trouble
concentrating at school?
Version 2 Total Score

Volume 61 . Nº1 . March 2023 49