STEADI: Centers for Disease Control and Prevention Stay Independent, Learn More About Fall Prevention

Check Your Risk for Falling

I have fallen in the past year. People who have fallen once are likely to fall again.

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

Sometimes I feel unsteady when I am walking. Unsteadiness or needing support while walking are signs of poor balance.

I steady myself by holding onto furniture when walking at home. This is also a sign of poor balance.

I am worried about falling. People who are worried about falling are more likely to fall.

I need to push with my hands to stand up from a chair. This is a sign of weak leg muscles, a major reason for falling.

I have some trouble stepping up onto a curb. This is also a sign of weak leg muscles.

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

I have lost some feeling in my feet. Numbness in your feet can cause stumbles and lead to falls.

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

I take medicine to help me sleep or improve my mood. These medicines can sometimes increase your chance of falling.

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

Your Level of Risk is

We recommend enrolling in a fall intervention program.

If you would like more information, you can contact us with referral information.

According to the CDC, people with a score of 4 points or more may be at risk for falling.

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