ALT TEST DONE AFTER SFST? ORDER? OLS PUTS FOOT DOWN MORE THAN 3? INDICATOR SHIRT PROBLEM? ________ CHECKED LACK OF SMOOTH PERSUIT WAT STEPS OFF LINE MEDICAL SCREEN GIVEN? OLS SWAYS YES NO? USED SLOWLY TURN" OR PIVOT? WAT USES ARMS TO BALANCE SFST GIVEN PROPER ORDER? YES NO OLS HOPS WAT DECISION POINT: 2 OR 3? OLS TOTAL POINTS? 2, 3, 0R 4 WAT MISSES HEEL TO TOE? "IS THERE ANY REASON...?" WAT TOTAL POINTS BELOW 5? OLS USES ARMS TO BALANCE? "FACE MY ___." DIDN'T FOLLOW INST. PROPER VIDEO ANGLE? WAT IMPROPER TURN CAN'T BALANCE DURING INST NYSTAGMUS CHECKED YES NO OLS DECISION POINT 2 OR 3? WAT STOPS WHILE WALKING? ALT TEST DONE AFTER SFST? ORDER? OLS PUTS FOOT DOWN MORE THAN 3? INDICATOR SHIRT PROBLEM? ________ CHECKED LACK OF SMOOTH PERSUIT WAT STEPS OFF LINE MEDICAL SCREEN GIVEN? OLS SWAYS YES NO? USED SLOWLY TURN" OR PIVOT? WAT USES ARMS TO BALANCE SFST GIVEN PROPER ORDER? YES NO OLS HOPS WAT DECISION POINT: 2 OR 3? OLS TOTAL POINTS? 2, 3, 0R 4 WAT MISSES HEEL TO TOE? "IS THERE ANY REASON...?" WAT TOTAL POINTS BELOW 5? OLS USES ARMS TO BALANCE? "FACE MY ___." DIDN'T FOLLOW INST. PROPER VIDEO ANGLE? WAT IMPROPER TURN CAN'T BALANCE DURING INST NYSTAGMUS CHECKED YES NO OLS DECISION POINT 2 OR 3? WAT STOPS WHILE WALKING?
(Print) Use this randomly generated list as your call list when playing the game. There is no need to say the BINGO column name. Place some kind of mark (like an X, a checkmark, a dot, tally mark, etc) on each cell as you announce it, to keep track. You can also cut out each item, place them in a bag and pull words from the bag.
ALT TEST DONE AFTER SFST? ORDER?
OLS PUTS FOOT DOWN MORE THAN 3?
INDICATOR
SHIRT PROBLEM?
________
CHECKED LACK OF SMOOTH PERSUIT
WAT
STEPS OFF LINE
MEDICAL
SCREEN GIVEN?
OLS SWAYS
YES NO?
USED SLOWLY TURN" OR PIVOT?
WAT
USES ARMS TO BALANCE
SFST GIVEN PROPER
ORDER?
YES NO
OLS
HOPS
WAT DECISION POINT: 2 OR 3?
OLS TOTAL POINTS? 2, 3, 0R 4
WAT
MISSES HEEL TO TOE?
"IS THERE ANY REASON...?"
WAT
TOTAL POINTS BELOW 5?
OLS
USES ARMS TO BALANCE?
"FACE MY ___." DIDN'T FOLLOW INST.
PROPER VIDEO ANGLE?
WAT
IMPROPER TURN
CAN'T BALANCE DURING INST
NYSTAGMUS CHECKED
YES NO
OLS DECISION POINT 2 OR 3?
WAT
STOPS WHILE WALKING?