# Rover Preparation — Rover health

## Thanks for your purchase

## In order to set up the proper norm for the person wearing the Rover, please provide the following information for that person only

### Gender (required)
- male
- female

### Age (required)
- enter subject's age

### Measurement Units
- please choose Measurement units
- Select an option: US | Metric

### Weight (required)
- enter subject's weight

### Height
- enter subject's height

### Optional
You can skip this part but if you answer these questions your fall risk report will be more accurate

1. **Have you had a fall or near fall in the past year?**
   - Yes
   - No
   - Not sure

2. **Do you have a fear of fall that restricts your activity?**
   - Yes
   - No
   - Not sure

3. **Do you have dizziness or a sensation of spinning when you lie down, tilt your head back, or roll over in bed?**
   - Yes
   - No
   - Not sure

4. **Do you feel uneasy or unsteady when walking down the aisle of a supermarket, or in an area congested with other people?**
   - Yes
   - No
   - Not sure

5. **Do you have difficulty walking in the dark, or on uneven surfaces such as gravel or a sloped sidewalk?**
   - Yes
   - No
   - Not sure

6. **Do your feet or toes frequently feel unusually hot or cold, numb or tingly?**
   - Yes
   - No
   - Not sure

7. **Do you wear bifocal or trifocal glasses, or is your vision notably better in one eye?**
   - Yes
   - No
   - Not sure

8. **Do you experience loss of balance, or a lightheaded/faint feeling when you stand up?**
   - Yes
   - No
   - Not sure

9. **Do you take medication for depression, anxiety, nerves, sleep or pain?**
   - Yes
   - No
   - Not sure

10. **Do you take four or more prescription medications daily?**
    - Yes
    - No
    - Not sure

11. **Do you feel like your feet just won’t go where you want them to go?**
    - Yes
    - No
    - Not sure

12. **Do you feel like you can’t walk a straight line, or are pulled to the side while walking?**
    - Yes
    - No
    - Not sure

13. **Has it been longer than six months since you participated in a regular exercise program?**
    - Yes
    - No
    - Not sure

14. **Do you feel that no one really understands how much dizziness and balance problems affect your quality of life?**
    - Yes
    - No
    - Not sure

15. **Are you interested in improving your balance and mobility?**
    - Yes
    - No
    - Not sure

### Submit
Submit