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    Health home > Aged Care in Victoria > Health & well-being > Falls Prevention > How safe are you from falling? (Adelaide West)  

 

 

How safe are you from falling? (Adelaide West)

Produced by: Stay on Your Feet - Adelaide West (based on the Stay on Your Feet - Western Australia checklist)

Format: Information sheet in other languages to accompany a 2-page English version

This self-assessment checklist includes questions related to previous falls, medications, exercise levels, health conditions, balance and walking and vision. A yes response to any of the questions may indicate an increased risk of falling. Seniors should discuss the questionnaire with their doctor how to reduce their risk of falling.

The checklist was modified and translated into other languages by Stay on Your Feet - Adelaide West and is similar to the checklist modified and translated by the Central Bayside Division of General Practice. The Commonwealth Government Department of Health and Ageing funded both projects.

Note: The original checklist was first developed in 1999 by Stay on Your Feet - Western Australia, Public Health Division, Health Department of Western Australia (WA). The self checklist was modified in 2005 and is available from the Stay On Your WA website (external link). The checklist is available as a one-page handout or as part of a falls prevention brochure. Other falls prevention information is also available from this website.

Availability:

Adobe Acrobat icon How safe are you from falling? (Information Sheet) - Adelaide West (173kb, pdf)

Adobe Acrobat icon How safe are you from falling? (Checklist) - Greek (91kb, pdf)

Adobe Acrobat icon How safe are you from falling? (Checklist) - Italian (72kb, pdf)

Adobe Acrobat icon How safe are you from falling? (Checklist) - Macedonian (83kb, pdf)

Adobe Acrobat icon How safe are you from falling? (Checklist) - Polish (89kb, pdf)

Adobe Acrobat icon How safe are you from falling? (Checklist) - Serbian (41kb, pdf)

Adobe Acrobat icon How safe are you from falling? (Checklist) - Spanish (60kb, pdf)

Adobe Acrobat icon How safe are you from falling? (Checklist) - Turkish (90kb, pdf)

Adobe Acrobat icon How safe are you from falling? (Checklist) - Vietnamese (52kb, pdf)

 
 
Last updated: 15 August, 2006
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