Graded symptom checklist | ||||
Symptom (Likert scale 0 to 6) | None | Mild | Moderate | Severe |
Headache | 0 | 1 to 2 | 3 to 4 | 5 to 6 |
Nausea | 0 | 1 to 2 | 3 to 4 | 5 to 6 |
Vomiting | 0 | 1 to 2 | 3 to 4 | 5 to 6 |
Dizziness | 0 | 1 to 2 | 3 to 4 | 5 to 6 |
Poor balance | 0 | 1 to 2 | 3 to 4 | 5 to 6 |
Blurred/double vision | 0 | 1 to 2 | 3 to 4 | 5 to 6 |
Sensitivity to light | 0 | 1 to 2 | 3 to 4 | 5 to 6 |
Sensitivity to noise | 0 | 1 to 2 | 3 to 4 | 5 to 6 |
Ringing in the ears | 0 | 1 to 2 | 3 to 4 | 5 to 6 |
Poor concentration | 0 | 1 to 2 | 3 to 4 | 5 to 6 |
Memory problems | 0 | 1 to 2 | 3 to 4 | 5 to 6 |
Not feeling "sharp" | 0 | 1 to 2 | 3 to 4 | 5 to 6 |
Fatigue/sluggish | 0 | 1 to 2 | 3 to 4 | 5 to 6 |
Sadness/depression | 0 | 1 to 2 | 3 to 4 | 5 to 6 |
Irritability | 0 | 1 to 2 | 3 to 4 | 5 to 6 |
Amnesia | ||||
Post-traumatic amnesia | Yes | No | Length: | |
Retrograde amnesia | Yes | No | Length: | |
Strength | ||||
Right arm | Normal | Abnormal | ||
Right leg | Normal | Abnormal | ||
Left arm | Normal | Abnormal | ||
Left leg | Normal | Abnormal | ||
Sensation | Normal | Abnormal | ||
Coordination of limbs/gait | Normal | Abnormal |
Do you want to add Medilib to your home screen?