Check your risk of falling at home | free fall risk assessment

Save and Continue Later

Save and Continue Later

Save and Continue Later

6. At night when you have your room lights on:
a. Are your rooms generally bright enough to read a newspaper without using a reading lamp?*
- Yes
- No
b. Are there any dark shadows across the hallways or floors in your home at night?*
- Yes
- No

Save and Continue Later

8. These questions are about your usual lounge chair:
a. Does your chair have soft or deep cushions?*
- Yes
- No
b. Does it take you more than one attempt to get up out of your sitting chair?*
- Yes
- No
c. When you lower yourself into the chair can you do so without flopping back into the chair?*
- Yes
- No

Save and Continue Later

9. These questions are about your bed:
a. Is your bed the right height for you (not too high or low)?*
- Yes
- No
b. Does your bed have a firm mattress that doesn't sag in the middle?*
- Yes
- No
c. Does it take you several attempts to get up from the side of the bed?*
- Yes
- No
d. When you lower yourself onto the bed can you do so without falling back onto the bed?*
- Yes
- No

Save and Continue Later

Congratulations! You are now half-way through this assessment and are a step closer to staying safe and fall-proofing your home.

Save and Continue Later

16. Please answer the following questions:
a. Is there a landing at all of the entrance doors?*
- Yes
- No
b. Is it easy to lock and unlock the entrance door?*
- Yes
- No
c. Can you open your screen door without stepping backwards down any entrance steps?*
- Yes
- No
- N/A (I do not have a screen door)

Save and Continue Later

Save and Continue Later

19. Do you ALWAYS wear supportive shoes when walking indoors or outdoors?*
- Yes
- No
a. Are your shoes firm fitting?*
- Yes
- No
b. Do your shoes have low heels?*
- Yes
- No
c. Do your shoes have a non-slip sole?*
- Yes
- No

Save and Continue Later

Save and Continue Later

Save and Continue Later

Home FAST self report