The Rhode Island Department of Health has identified falls as the leading cause of emergency department visits. Among adults aged 65 and older, about 25% (roughly 43,000 individuals) reported experiencing at least one fall in the past year. (https://health.ri.gov/injury-prevention/falls-prevention) We would like to understand which fall education strategies are important to you. Your feedback will help us implement effective fall prevention programs to support Rhode Islanders.

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1. What is your gender?

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2. What is your age?

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3. What is your race?

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4. What is your ethnicity?

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5. Did someone help you complete this survey?

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6. If yes, what is your relationship with the person who helped you? (Required.)

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7. What is your zip code? (Required.)

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8. Do you live:

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9. Have you experienced a fall in the past 12 months?

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10. Did the fall result in an injury?

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11. How did you respond to the fall? (Required.)

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12. How concerned are you about future falls?

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13. Are you currently using any fall prevention strategies? For example, participating in a falls prevention program, removing fall hazards in my home, and speaking to my doctor.

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14. What type of fall prevention strategy are you currently using? (Required.)

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15. Would educational resources be helpful to you? Educational resources include brochures, text messaging, and safety videos.

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16. What types of educational resources are most helpful to you?

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17. Would you like to receive information about fall prevention and home safety?

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18. How often would you like to receive information about fall prevention and home safety?

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19. What is your preferred method of communication to receive information about falls prevention and home safety?

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20. Could we contact you to participate in a fall prevention community advisory committee?

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21. Please enter your contact information

Thank you for taking the time to complete this survey. Please contact us at 401-432-7217 with any questions or to learn more about our services.
This project is supported by the Administration for Community Living (ACL), U.S. Department of Health and Human Services (HHS) as part of a financial assistance award totaling $290,000. The contents are those of the author(s) and do not necessarily represent the official views of, nor an endorsement by, ACL/HHS, or the U.S. Government.

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