Falls History

1. Are you afraid of falling?


2. Have you had a fall in the last week?


3. Would the fall have been unavoidable for a person without balance deficits?


4. Have you had a fall in the past year?


5. Would the fall have been unavoidable for a person without balance deficits?


6. Have you fallen more than once in the past year?


7. How many times have you fallen in the past year?


8. Did any of the falls result in a visit to the MD/ER or hospitalization?


9. Did you need help to get up after any of the falls?