| 1. Do you trip quite a bit? |
Disagree |
|
Agree |
| 2. Do you slip some times? |
Disagree |
|
Agree |
| 3. do you fall ALOT? |
Disagree |
|
Agree |
| 4. Do you fall for a reason? |
Disagree |
|
Agree |
| 5. Do you trip over nothing at least 5x a day? |
Disagree |
|
Agree |
| 6. have you answered agree to most of these? |
Disagree |
|
Agree |
| 7. do you slip over nothin alot? |
Disagree |
|
Agree |
| 8. do you slip ALOT? |
Disagree |
|
Agree |
| 9. have you run into someone in the last 12 hr? |
Disagree |
|
Agree |
| 10. Do you trip over things that are accually there? |
Disagree |
|
Agree |
| 11. have you run into a door in the last 24 hr? |
Disagree |
|
Agree |
| 12. do you trip over things ONCE in a while? |
Disagree |
|
Agree |
| 13. do you run into things? |
Disagree |
|
Agree |
| 14. do you trip over nothing once in a while? |
Disagree |
|
Agree |
| 15. do you trip ALOT? |
Disagree |
|
Agree |
