Injury
Q1. In the last 12 months have you had a fall?
1. Yes
2. No → Q5
X Don't know → Q5
R Refused → Q5
Q2. How many times did you fall in the last 12 months?
1. [SPECIFY] ________________________
X Don't know
R Refused
Q3. In the last 12 months have you had a fall that required medical treatment for injuries?
1. Yes
2. No → Q5
X Don't know → Q5
R Refused → Q5
Q4. Were you admitted to hospital as a result of any of your falls in the last 12 months?
1. Yes
2. No → Q5
X Don't know → Q5
R Refused → Q5
Q5. Have you made any changes to your home or lifestyle to prevent you from falling?
1. Yes
2. No
X Don't know
R Refused
Q6. What did you do? [MULTIPLE RESPONSE]
1. Got more exercise
2. Had eyes checked
3. Changed my footwear
4. Changed my medications
5. Installed handrails
6. Replaced steps with ramps
7. Removed clutter from my house
8. Removed mats or rugs
9. Removed loose cords or appliance leads
10. Got a personal alarm
11. Improved the lighting
12. Repaired unsafe or unsteady furniture
13. Other _______________________[SPECIFY]
X Don't know
R Refused
Q7. Are you afraid of falling?
1. Yes
2. No
X Don't know
R Refused
| Source: | New South Wales Population Health Survey 2006 (HOIST). Centre for Epidemiology and Research, NSW Department of Health. |
| Print version: | Although this page can be printed directly from your web browser, a higher quality version is available as a PDF file that can be printed or viewed on screen. |
| Produced by: | Centre for Epidemiology and Research, Population Health Division, NSW Department of Health. |
| Last updated on: | 1 July 2007 |