Parkinson's Screening Questionnaire | Check for Symptoms

Parkinson's Screening Questionnaire

Complete this short questionnaire to check for symptoms and determine if you should consult your doctor or a specialist.

Questionnaire

1. Have you been getting slower in your usual daily activities?

Yes

No

2. Is your handwriting smaller than it used to be?

Yes

No

3. Is your speech slurred or softer than before?

Yes

No

4. Do you have trouble rising from a chair?

Yes

No

5. Do your lips, hands, arms, and/or legs shake?

Yes

No

6. Have you noticed increased stiffness in your body?

Yes

No

7. Do you shuffle your feet and/or take smaller steps when you walk?

Yes

No

8. Do your feet seem to get stuck to the floor when walking or turning?

Yes

No

9. Have you or others noticed that you don't swing one arm when walking?

Yes

No

10. Do you have more trouble with your balance?

Yes

No

Results

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CareYaya is not a licensed home care agency, as defined in Gen. Stat. 131E-136(2) and does not make guarantees concerning the training, supervision or competence of the personnel referred hereunder. We refer private, high-quality caregivers to people with disabilities and older adults.