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Fall Risk Assessment

Self-assessment tool, Links and Resources to standardized and CDC recommended tests.

Knowing one's fall risk is key to a meaningful outcome. Many older adults are assessed by their primary care provider or therapist, others depend on those within their care giving circle or community agencies. Are you at risk?

Welcome to your Fall Risk Assessment

Assessment intro

We will ask you 12 simple questions to help you determine your fall risk.

There is no time limit. Click "Next" to begin.

1) Assessment calendar

People who have fallen once
are likely to fall again.
Have you fallen in the past year?

2) Assessment cane walker

People who have been advised to use a cane
or walker may already be more likely to fall.
Have you used or been advised to use a cane
or walker to get around safely?

3) Assessment unsteady

Unsteadiness or needing support while walking are signs of poor balance.
Do you sometimes feel unsteady when you are walking?

4) Assessment furniture

There are other signs of poor balance.
Do you steady yourself by holding onto furniture when walking at home?

5) Assessment worry

People who are worried about falling are more likely to fall.
Are you worried about falling?

6) Assessment chair

Weak leg muscles are a major reason for falling.
Do you need to push with my hands to stand up from a chair?

7) Assessment curb

There are other signs of weak leg muscles.
Do you have some trouble stepping up onto a curb?

8) Assessment toilet

Rushing to the bathroom, especially at night, increases your chance of falling.
Do you often have to rush to the toilet?

9) Assessment feet

Numbness in your feet can cause stumbles and lead to falls.
Have you lost some feeling in your feet?

10) Assessment medicine

Side effects from medicines can sometimes increase your chance of falling.
Do you take medicine that sometimes makes you feel light-headed or more tired than usual?

11)

Assessment sleepCertain medicines can sometimes increase your chance of falling.
Do you take medicine to help you sleep or improve your mood?

12) Assessment sad depressed

Symptoms of depression, such as not feeling well or feeling slowed down, are linked to falls.
Do you often feel sad or depressed?


This assessment was developed by the Greater Los Angeles VA Geriatric Research Education Clinical Center and affiliates and is a validated fall risk self-assessment tool (Rubenstein et al. J Safety Res; 2011:42(6)493-499). Adapted with permission of the authors.

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