You can always press Enter⏎ to continue
Question Label
1
of
12
See All
Go Back
Submit
person-raisedarms
Check Your Risk for Falling
Falls are the leading cause of fatal and non-fatal injuries for older adults. However, falling is not an inevitable result of aging. Check your risk for falling with this short quiz from MultiCare Health System.
12
Questions
START
person-raisedarms
1
Please select "yes" or "no" for each of the following statements: I have fallen in the past year.
*
This field is required
People who have fallen once are likely to fall again.
YES
NO
Previous
Next
Submit
Press
Enter
2
I use or have been advised to use a cane or walker to get around safely.
*
This field is required
People who have been advised to use a cane or walker may already be more likely to fall.
YES
NO
Previous
Next
Submit
Press
Enter
3
Sometimes I feel unsteady when I am walking.
*
This field is required
Unsteadiness or needing support while walking are signs of poor balance.
YES
NO
Previous
Next
Submit
Press
Enter
4
I steady myself by holding onto furniture when walking at home.
*
This field is required
This is also a sign of poor balance.
YES
NO
Previous
Next
Submit
Press
Enter
5
I am worried about falling.
*
This field is required
People who are worried about falling are more likely to fall.
YES
NO
Previous
Next
Submit
Press
Enter
6
I need to push with my hands to stand up from a chair.
*
This field is required
This is a sign of weak leg muscles, a major reason for falling.
YES
NO
Previous
Next
Submit
Press
Enter
7
I have some trouble stepping up onto a curb.
*
This field is required
This is also a sign of weak leg muscles.
YES
NO
Previous
Next
Submit
Press
Enter
8
I often have to rush to the toilet.
*
This field is required
Rushing to the bathroom, especially at night, increases your chance of falling.
YES
NO
Previous
Next
Submit
Press
Enter
9
I have lost some feeling in my feet.
*
This field is required
Numbness in your feet can cause stumbles and lead to falls.
YES
NO
Previous
Next
Submit
Press
Enter
10
I take medicine that sometimes makes me feel light-headed or more tired than usual.
*
This field is required
Side effects from medicines can sometimes increase your chance of falling.
YES
NO
Previous
Next
Submit
Press
Enter
11
I often feel sad and depressed.
*
This field is required
Symptoms of depression, such as not feeling well or feeling slowed down, are linked to falls.
YES
NO
Previous
Next
Submit
Press
Enter
12
Your Results
If you scored four points or more, you may be at risk of falling.
Previous
Next
Submit
Press
Enter
Should be Empty: