Above & Beyond Senior Services

 1.  Have you had a fall or several falls?

 2.  Do you have a fear of falling?

 3.  Do you have poor vision or are you legally  blind?

 4.  Are you on any medications that cause you to feel

      dizzy, unsteady, confused, or drowsy?

 5.  Are you using an assistive device for mobility such

      as a cane, walker, or wheelchair?

 6.  Have you been in the hospital within the last six

      months?

 7.  Do you have any chronic medical conditions?

 8.  Are you frail or underweight?

 9.  Have you noticed any memory changes recently?

10. Do any of these apply to someone who lives with

      you?