Q40

Fall Risk
How many time have you fallen in the past 12 months?
□ more than 10 times
□ 5 to 10 times
□ 2 to 5 times
□ 1 times
□ none

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Next Fall Risk

Branching

If the answer is 1 or more, suggest completing the Fall Risk Assessment Fall Risk Questionnaire

Background

Well-Being Assessment (WBA)
CDC Health Risk Assessment (HRA)