Level 9: Fall Risk Assessment Quiz Welcome to your Level 9: Fall Risk Assessment Quiz 1. I have lost feeling (peripheral neuropathy) in one or both hands Yes No 2. When I am walking, I take short, narrow steps Yes No 3. Yes No 4. When standing still, without holding onto anything, I sway Yes No 5. When I walk, I lose my balance Yes No 6. I have been told to use a cane or walker Yes No 7. My blood pressure or medication makes me feel sleepy or light-headed Yes No 8. To get out of a chair, I need to push off with both arms Yes No 9. In the last year, I have fallen Yes No 10. I stumble or look at the ground when I walk Yes No Time is Up! Time's up