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Answer a few questions below based on the assessment you performed and get your results.

(check all that apply)

Bathroom

My bathroom is difficult to navigate without fear of falling.
I have difficulty accessing the bathroom sink.
I have difficulty using the tub or shower in the bathroom.
I have difficulty using the bathroom toilet.

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Bedroom

My bedroom is difficult to navigate without fear of falling.
I am NOT able to peacefully rest in the bedroom.
I have difficulty using the lighting in my bedroom.
I have difficulty accessing the bed.
I have difficulty using the dressing areas including the closet and dresser.

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Kitchen

My kitchen is difficult to navigate without fear of falling.
My kitchen appliances are in disrepair or unsafe.
I have difficulty preparing food.
I have difficulty eating.

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Living Room

My living area is difficult to navigate without fear of falling.
I have difficulty getting in and out of my furniture.
My doors, windows, heating & cooling are broken or unsafe to use.
I have difficulty seeing to perform hobbies, work or other tasks in my living area.

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Outdoors

I have difficulty going outdoors without fear of falling.
My outdoor lighting and doorbell is broken or are unsafe to use.
I have difficulty getting in and out of a vehicle.
I have difficulty accessing public buildings or shopping areas.
I have difficulty seeing to navigate steps, sidewalks or walking on uneven surfaces.