Cranial nerve screen
1 - Have you noticed any changes in your sense of smell?
2 - Have you noticed any changes in your vision? Specifically light sensitivity
or seeing in dim light?
3,4,6 – have you had any blurred or double vision?
5 – have you had any sensation loss in your face or problems chewing?
7 – have you noticed any weakness in your face or has anyone said your face
looks different from normal?
8 – have you had any hearing loss, tinnitus or dizziness?
9,10,12 – have you had any problems speaking or swallowing?
11 – have you noticed any weakness in your neck or shoulders?