January 13, 2016 Check your Risk for Falling NHFallsIntern Falls are the main reason why older people lose their independence. Are you at risk for a fall? Find out here. 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. I have fallen in the past year. Yes NoI use or have been advised to use a cane or walker to get around safely Yes NoSometimes I feel unsteady when I am walking. Yes NoI steady myself by holding onto furniture when walking at home. Yes NoI am worried about falling. Yes NoI need to push with my hands to stand up from a chair. Yes NoI have some trouble stepping up onto a curb. Yes NoI often have to rush to the toilet. Yes NoI have lost some feeling in my feet. Yes NoI take medicine that sometimes makes me feel light-headed or more tired than usual. Yes NoI take medicine to help me sleep or improve my mood. Yes NoI often feel sad or depressed Yes NoBe sure to click Submit Quiz to see your results!