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Fall Risk Self-Check

12 yes-or-no questions from the CDC’s STEADI program. About 2 minutes. You can do it sitting down.

Your answers stay on your device. This tool runs only in your web browser. Nothing you enter is sent to us, saved or shared. Close the page and it’s gone.

⚠️ Not for emergencies

If you just fell and are hurt, or you feel faint or confused right now, call 911 or your doctor. This checklist is for planning ahead.

Answer each statement Yes or No. Your score adds up as you go. This checklist comes from the CDC’s STEADI fall-prevention program. You can do it sitting down.

Check Your Risk for Falling

1. I have fallen in the past year. Yes = 2 points

Why it matters: People who have fallen once are likely to fall again.

2. I use or have been advised to use a cane or walker to get around safely. Yes = 2 points

Why it matters: People who have been advised to use a cane or walker may already be more likely to fall.

3. Sometimes I feel unsteady when I am walking. Yes = 1 point

Why it matters: Unsteadiness or needing support while walking are signs of poor balance.

4. I steady myself by holding onto furniture when walking at home. Yes = 1 point

Why it matters: This is also a sign of poor balance.

5. I am worried about falling. Yes = 1 point

Why it matters: People who are worried about falling are more likely to fall.

6. I need to push with my hands to stand up from a chair. Yes = 1 point

Why it matters: This is a sign of weak leg muscles, a major reason for falling.

7. I have some trouble stepping up onto a curb. Yes = 1 point

Why it matters: This is also a sign of weak leg muscles.

8. I often have to rush to the toilet. Yes = 1 point

Why it matters: Rushing to the bathroom, especially at night, increases your chance of falling.

9. I have lost some feeling in my feet. Yes = 1 point

Why it matters: Numbness in your feet can cause stumbles and lead to falls.

10. I take medicine that sometimes makes me feel light-headed or more tired than usual. Yes = 1 point

Why it matters: Side effects from medicines can sometimes increase your chance of falling.

11. I take medicine to help me sleep or improve my mood. Yes = 1 point

Why it matters: These medicines can sometimes increase your chance of falling.

12. I often feel sad or depressed. Yes = 1 point

Why it matters: Symptoms of depression, such as not feeling well or feeling slowed down, are linked to falls.

Answered 0 of 12

This is a screening, not a diagnosis. It can point out a possible fall risk, but it can’t tell you for sure whether you will fall, or why. Only a licensed health care provider who examines you can do that. If you are worried about your balance, talk with your doctor or a physical therapist.

How the score works

The first two statements are worth 2 points each. The other ten are worth 1 point each, so the highest score is 14. The CDC says a score of 4 points or more means you may be at risk for falling. The CDC also says that anyone who has fallen in the past year is at risk, even with a lower score.

Sources. Checklist statements and scoring from the CDC STEADI brochure Stay Independent: Learn More About Fall Prevention (2023): cdc.gov/steadi/pdf/STEADI-Brochure-StayIndependent-508.pdf. Developed by the Greater Los Angeles VA Geriatric Research Education Clinical Center and affiliates; a validated fall risk self-assessment tool (Rubenstein et al., J Safety Res 2011;42(6):493-499). Fallen-in-the-past-year rule: CDC STEADI Algorithm for Fall Risk Screening, Assessment, and Intervention: cdc.gov/steadi/media/pdfs/STEADI-Algorithm-508.pdf. The Shirley Ryan AbilityLab Rehabilitation Measures Database has no entry for this checklist, so the CDC version is used as published. Use of CDC materials does not imply CDC endorsement of Holsman Physical Therapy.

Free event

Free NO FALL PROTOCOL® Balance Screening

Monday, Nov 16 – Friday, Nov 20, 2026 at all 17 Holsman clinics

A physical therapist checks your balance with the Berg Balance Scale, Timed Up and Go and 4-Stage Balance Test. It takes about 20 minutes. It’s free, and you don’t need insurance or a referral.

Common Questions

What is the Stay Independent checklist?

It is a 12-question fall-risk checklist from the CDC’s STEADI program (Stopping Elderly Accidents, Deaths & Injuries). It was developed by the Greater Los Angeles VA and is a validated self-assessment for older adults.

What does a score of 4 or more mean?

The CDC says a score of 4 points or more means you may be at risk for falling. It is a reason to talk with your doctor and get a balance check, not a diagnosis.

I scored under 4 but I fell this year. Am I at risk?

Yes. The CDC STEADI guidelines count anyone who has fallen in the past year as at risk, even if the total score is under 4.

What can I do if I am at risk?

Talk with your doctor and ask them to review your medicines. Get your eyes checked once a year. Make your home safer by removing clutter and tripping hazards. Start an exercise program for leg strength and balance. A physical therapist can test your balance and build a plan for you.

Are my answers saved or sent anywhere?

No. The checklist runs only in your web browser. Nothing is sent to Holsman Physical Therapy or anyone else, and nothing is saved after you close the page.

Want an Expert Balance Check?

Physical therapists at 17 locations across NJ & NYC. Same-week appointments available.

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