Check Your Risk of Falling

Falls are the main reason why older people lose their independence. Stay independent by preventing falls.
Please click "Yes" or "No" for each question below. The form will automatically calculate your score at the bottom.

We collect the following information for statistics only.

Falls are the main reason why people lose their independence. Follow this link to download an informative brochure on how to prevent falls: brochure

This checklist 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.