Back to homePrivate self-assessment

Check your risk for falling in about three minutes.

Choose Yes or No for each statement. This screening tool does not diagnose a condition or replace advice from a qualified healthcare professional.

  1. Question 1
    1

    I have fallen in the past year.

  2. Question 2
    2

    I use or have been advised to use a cane or walker to get around safely.

  3. Question 3
    3

    Sometimes I feel unsteady when I am walking.

  4. Question 4
    4

    I steady myself by holding onto furniture when walking at home.

  5. Question 5
    5

    I am worried about falling.

  6. Question 6
    6

    I need to push with my hands to stand up from a chair.

  7. Question 7
    7

    I have some trouble stepping up onto a curb.

  8. Question 8
    8

    I often have to rush to the toilet.

  9. Question 9
    9

    I have lost some feeling in my feet.

  10. Question 10
    10

    I take medicine that sometimes makes me feel light-headed or more tired than usual.

  11. Question 11
    11

    I take medicine to help me sleep or improve my mood.

  12. Question 12
    12

    I often feel sad or depressed.

Adapted from the CDC STEADI Stay Independent checklist. A score of 4 or more may indicate fall risk; discuss the result and any fall in the past year with a healthcare professional.

View the original CDC checklist