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Bathroom Checklist Bedroom Checklist Kitchen Checklist Hallways and Stairs Checklist Porch and Yard Checklist Personal Risk Factors Checklist

Answer all 8 questions and press GO!

1. Do carpets, rugs, and floor coverings have frayed corners or rolled-up edges?
Yes     No
2. Are there throw rugs in walkways?
Yes     No
3. Are chairs and couches low to the ground?
Yes     No
4. Is it necessary to get up to answer the phone?
Yes     No
5. Do you have to walk over or around cords or wires (extension cords, lamp cords, telephone cords)?
Yes     No
6. Are there newspapers, boxes, shoes, etc. on the floor?
Yes     No
7. Do you need to walk around furniture to get through the living area?
Yes     No
8. Do you have to reach up to pull cords to lights or ceiling fans?
Yes     No