Does your parent’s bathroom have grab bars near the toilet or shower?

Yes

Not sure

No

Bathroom Safety

Has your parent fallen in the past 12 months?

No

Once

More than once

 Fall History

How steady is your parent when walking?

Very steady

Occasionally unsteady

Often unsteady or uses support

How often does someone check on your parent in person?

Daily

Weekly

Rarely

Support System

Have you noticed any of these recently?

No concerns

Occasional forgetfulness

Confusion, missed meds, or safety concerns

 Mobility