Balance Self Test

To help determine if you may be headed for a fall, take the Balance Self Test below. If you answer yes to one or more of the questions, you could be at risk. The best way to determine if you have a problem, though, is to talk with your physician who might recommend that you get a balance screening test from a qualified clinician.

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

Reset Print

If you answered “yes” to one or more of the questions above, then you could have a balance problem and should consult with your physician. You may print this Balance Test and take it with you for your physician to review.

Find a Specialist who treats balance disorders.