| | 11 Difficulty concentrating  
| | 12 Memory problems  
| | 13 Unsteady on feet or balance problems  
| | 14 Lightheaded or dizziness  
| | 15 Fear of falling  
| | 16 Anxiety or fear  
| | 95 Some other problem or symptom  
| |  
| | CHECK: IF response at HeAta did not appear at HeAtt INTERVIEWER:  
| | This reason wasn't given at HeATT. Please change!  
| |  
| ENDIF  
|
ENDIF