Fall Risk Prevention Quiz

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.

YESNO

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.

YESNO

3

Sometimes I feel unsteady when I am walking.* This field is required.Unsteadiness or needing support while walking are signs of poor balance.

YESNO

4

I steady myself by holding onto furniture when walking at home.* This field is required.This is also a sign of poor balance.

YESNO

5

I am worried about falling.* This field is required.People who are worried about falling are more likely to fall.

YESNO

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.

YESNO

7

I have some trouble stepping up onto a curb.* This field is required.This is also a sign of weak leg muscles.

YESNO

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.

YESNO

9

I have lost some feeling in my feet.* This field is required.Numbness in your feet can cause stumbles and lead to falls.

YESNO

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.

YESNO

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.

YESNO

12

Your ResultsIf you scored four points or more, you may be at risk of falling.