Fall Risk Assessment

Staying independent means staying on your feet. This check-up helps identify if you might be at risk of falling in the future.

Important Information

Educational Tool: This helps evaluate balance and stability. It is based on the CDC's "Stay Independent" guide.

Goal: To keep you safe. Many falls can be prevented with simple strength and balance training.

I understand this is for screening purposes.

This helps us personalize your report.

Age

Question 1 of 12

Please answer Yes or No for each statement.

Date:

0 Risk Score

Your results.

Schedule with a Provider