Table 1 iStoppFalls fall risk assessment

Question

Previous Falls

QuickScreen [9]

Have you had one or more falls in the previous 12 months?

Yes/No

Yes

Question

Medication

QuickScreen [9]

How many medications do you take each day?

Do you currently take any medications to help you sleep?

Number

Yes/No

>4

Yes

Question

Vision

QuickScreen [9]

Do you wear multi-focal glasses outside?

Yes/No

Yes

Question

Peripheral Sensation

QuickScreen [9]

Do you have painful feet?

Yes/No

Yes

Question

Concern about Falling

Icon-FES [11]

10 questions using pictures to illustrate the daily activity

1–4 Likert scale

>13

Physical

Reaction time

New

Choice arm reaction time test

Pass/Fail

>800 ms

Physical

Reaction time

CSRT [12]

Choice stepping reaction time test

Pass/Fail

> 800 ms

Physical

Balance

SPBB [10]

Semi-tandem test

Pass/Fail

<30 s

Physical

Strength

QuickScreen/SPPB [9, 10]

Sit-to-stand test

Pass/Fail

>12 s