Other elements are more valuable and clear-cut: Severity of initial episode Severity and characteristics of subsequent episodes Symptoms continuous or episodic If episodic, frequency and duration Triggers and relievers (ie, triggered by head / body position change) Associated aural symptoms (eg, hearing loss, ear fullness, tinnitus) Severity and related disability Is the patient having a single, sudden, acute event, or has dizziness been chronic and recurrent?