Step 1: Feet on the Floor

Place both feet on the floor, shoulder width apart, with your arms at your sides

1A. Eyes Open

Did you pass or fail?

Select One*

1B. Eyes Closed

Did you pass or fail?

Select One*

Step 2: 1-Left Leg Up, Eyes Open

1 foot on the floor, one leg bent at 90 degrees

2A. Right Leg Up, Eyes Open

Did you pass or fail?

Select One*

2B. Left Leg Up, Eyes Open

Did you pass or fail?

Select One*

Step 3: 1-Leg Up, Eyes Closed

3A. Right Leg Up, Eyes closed

Did you pass or fail?

Select One*

3B. Left Leg Up, Eyes Closed

Did you pass or fail?

Select One*

Submit your results using the form below, and we'll contact you to schedule your Balance Consultation!