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Tracking Chart for Level 1 and Level 2 Exercises for Vertigo

Use the following chart to help you see your progress in the level 1 and level 2 exercises for vertigo. Make six copies, and use one for each exercise. Add any comments about how you feel.

Date

Times/Eyes closed or open

Comments (how you feel, etc.)

     
     
     
     
     
     
     
     
     
     
     
     
     
     
     
     
     
     
     
     
     
     
     
     
     
     
     
     
     
By Healthwise Staff
Primary Medical Reviewer Anne C. Poinier, MD - Internal Medicine
Specialist Medical Reviewer E. Gregory Thompson, MD - Internal Medicine
Last Revised December 19, 2012

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