Albuquerque, NM Fire Rescue

Helping improve your home safety by focusing on preventing falls.

Albuquerque, NM Fire Rescue Falls Prevention

Welcome to our Home Safety Survey and thank you for your participation! It will take just a few minutes to finish. Fill in your information below to get started.

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Balance

Do you find yourself walking from one piece of furniture to another to maintain balance?

Eye Sight

Do you wear bifocals, trifocals or progressives?

Medications

Do you take 4 or more medications?

Hearing

Do you have hearing loss?

History

Have you fallen (found yourself slipping, tripping or flat on the ground) in the last year?

Have you called 911 in the last year for a fall or other medical emergency?

Memory

Do you find yourself being more forgetful, struggling to find the correct word, or being challenged with multitasking?

Physical Exam

Have you had an annual physical exam with your primary care in the last year?