Wondering if you have a fall risk that needs to be addressed?...Answer these 10 questions to find out quickly.

Email *

Phone for Quick Results *

Do You Worry About Falling?

YES

NO

Do You Feel Unsteady When Standing or Walking?

YES

NO

Have You Fallen in The Past Year?

YES

NO

Do You Need to Use Your Hands to Rise from a Chair?

YES

NO

Do You Have a Fear of Falling that Limits Your Daily Activities?

YES

NO

Have You Noticed a Decrease in Your Confidence to Engage in Activities you Enjoy due to Balance or Mobility Issues?

YES

NO

Do You Feel Dizzy or Lightheaded When Standing Up from a Sitting or Lying Position?

YES

NO

Do You Often Need to Hold Onto Furniture or Walls for Balance?

YES

NO

Do You Have Trouble Stepping Up Onto Curbs or Climbing Stairs?

YES

NO

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