Falls Prevention Checklist

• Have you had a fall in the past 6 months? If yes, how many: _____

• Have you ever had a fall that resulted in a broken bone?

• Are you afraid that you might fall again?

•Do you have a problem with your balance?

•Do you have a problem with your vision?

•Do you get dizzy when you stand up quickly?

•Do you have a problem with your memory?

For more information on Falls Prevention call Community Health representative, Allyson Lamesse at the Community Health office at 613-575-2341 ext. 3229

Information taken by Centre of Excellence on Mobility, Fall Prevention and Injury in Aging.