The Regional Municipality Of York


Fall risk self-assessment

Am I at risk of falling?

Instructions: Select the box next to the statements that you feel apply to you.

Complete the Printer-friendly version if you would like to print your responses.

Your Score:

Even if you have a low risk of falling, continue to be active, use medication wisely, do a home safety check and eat a well-balanced diet.

Read Your Guide To Fall Prevention for more helpful tips. Also check out the Fall Risk Self-Assessment Tool for tips on staying independent.

For more information about healthy aging and preventing falls, please visit

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