Self Balance Test

If you answer yes to one or more questions, speak to your doctor about your risk of falling.

1. Have you fallen more than once in the past year?
2. Do you take medicine for two or more of the following diseases: heart disease, high blood pressure, arthritis, anxiety or depression?
3. Do you feel dizzy or unsteady if you make sudden changes in movement, such as bending down or quickly turning?
4. Do you have blackouts or seizures?
5. Have you experienced a stroke or other neurological problem that has affected your balance?
6. Do you experience numbness or loss of sensation in your legs and/or feet?
7. Do you use a walker or wheelchair, or do you need assistance to get around?
8. Are you inactive? (Answer yes if you do not participate in a regular form of exercise, such as walking 20-30 minutes at least three times a week.)
9. Do you feel unsteady when you are walking or climbing stairs?
10. Do you have difficulty sitting down or rising from a seated or lying position?

Self Balance Test provided courtesy of NeuroCom®, a division of Natus ®.