# 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 (required)**  
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**