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Fall Risk Assessment Questionnaire

The Fall Risk Questionnaire (FRQ) assesses participants' risk of falling based on their responses to 12 questions. A score of 4 or more 'yes' answers indicates a risk of falling, prompting appropriate referrals and management. Follow-up assessments like the 5x sit to stand or Timed Up and Go are recommended for those indicating specific risk factors.
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0% found this document useful (0 votes)
240 views1 page

Fall Risk Assessment Questionnaire

The Fall Risk Questionnaire (FRQ) assesses participants' risk of falling based on their responses to 12 questions. A score of 4 or more 'yes' answers indicates a risk of falling, prompting appropriate referrals and management. Follow-up assessments like the 5x sit to stand or Timed Up and Go are recommended for those indicating specific risk factors.
Copyright
© All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
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Fall Risk Questionnaire (FRQ)

Participants are asked to respond to each of the following questions and then
rate themselves for their risk of falling. If the participant scores “4” or more
“yeses”, they are at risk of falling. For ‘yeses’ to risk factors not immediately
amenable to physiotherapy, refer appropriately.
For ‘yeses’ to questions 3,4,5,6,7 follow up with the 5x sit to stand or Timed up
and Go and start management. The same outcome measures can be used to
track treatment progress.

YES NO
1.I have fallen in the last 6 months.*
2.I am worried about falling.
[Link],I feel unsteady when I am walking.
4.I steady myself by holding onto furniture when walking at home.
5.I use or have been advised to use a cane or walker to get around safely. *
6.I need to push with my hands to stand up from a chair.
7.I have some trouble stepping up onto a curb (a small step).
8.I often have to rush to the toilet.
9.I have lost some feeling in my feet.
10.I take medicine that sometimes makes me feel light-headed or more
tired than usual.
11.I take medicine to help me sleep or improve my mood.
12.I often feel sad or depressed.
FRQ Score: ____________

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