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Fall risk quick check

Twelve statements. Answer yes or no for how things are for you right now. It takes about two minutes.

  1. I have fallen in the past year.
  2. I use or have been advised to use a cane or walker to get around safely.
  3. Sometimes I feel unsteady when I am walking.
  4. I steady myself by holding onto furniture when walking at home.
  5. I am worried about falling.
  6. I need to push with my hands to stand up from a chair.
  7. I have some trouble stepping up onto a curb.
  8. I often have to rush to the toilet.
  9. I have lost some feeling in my feet.
  10. I take medicine that sometimes makes me feel light-headed or more tired than usual.
  11. I take medicine to help me sleep or improve my mood.
  12. I often feel sad or depressed.

Adapted from the Stay Independent brochure, CDC STEADI initiative. This check is for education, not diagnosis. Your answers are scored on this device and are never sent to us.

Start with a $50 Initial Consultation

Tell us who is coming home, or who is staying home, and what worries you. The $50 Initial Consultation is credited toward any visit you book within 30 days.

Book a $50 consultation Call (813) 867-3372