Short Falls Efficacy Scale-International Below are some questions about how concerned you are about the possibility of falling. Please reply thinking about how you usually do the activity. If you currently don’t do the activity (for example, if someone does your shopping for you), please answer to show whether you think you would be concerned about falling IF you did the activity. For each of the following activities, please check the box which is closest to your own opinion to show how concerned you are that you might fall if you did this activity. None A Little Medium A Lot No Concern Somewhat Concerned Fairly Very Concerned Concerned 1. Getting dressed or undressed 1 2 3 4 2. Taking a shower or bath 1 2 3 4 3. Getting in or out of a chair 1 2 3 4 4. Going up or down stairs 1 2 3 4 5. Reaching for something above your head or on the ground 1 2 3 4 6. Walking up or down a slope 1 2 3 4 7. Going out to a social event (religious service, family gathering, club meeting) 1 2 3 4 Total Adapted from the Prevention of Falls Network Europe, Falls Efficacy Scale International Kempen GIJM, Yardley L., Haastregt JCM van, Zijlstra GAR, Beyer N, Hauer K, Todd C SCORING: Low Concern: 7-8; Moderate Concern: 9-13; High Concern: 14-28. Short Falls Efficacy Scale International/ Short FES-I To calculate the Short FES-I score when all items are completed, simply add the scores for each item together to give a total that ranges as follows: ● Short FES-I: minimum 7 (no concern about falling) to maximum 28 (severe concern about falling) Short FES-I Low concern Mod concern 7-8 9-13 High concern 14-28 Scoring with missing items If responses are missing on 3 or more items for Short-FES-I then the questionnaire scores cannot be used. If responses are missing on 2 or less on Short FES-I then it is possible to calculate the Short FES-I score. First: Calculate the total score of the items which have been completed. Second: Divide that score by the number of items completed Third: Multiply by 7 (Short FES-I). The new total score should be rounded up to the nearest whole number to give the score for an individual. For example, if scores on Short FES-I were: Item 1=2 Item 2=3 Item 3=missing Item 4=3 Item 5=2 Item 6=4 Item 7=missing Then 2+3+3+2+4=14/5 = 2.8×7= 19.6 which is rounded up to 20. Falls Efficacy Scale-I - Short FES-I. (2019). Retrieved 21 December 2019, from https://sites.manchester.ac.uk/fes-i/ In Medigraph Special Tests under Questionnaires SHORT FALLS EFFICACY SCALE-INTERNATIONAL (Short FES-I) Used to assess concerns about falling relating to 5 basic indoor and 2 community activities. Any adult may develop a fear of falling leading to curtailment of activities, reduced mobility and fitness, and increasing risk of falling. Concern/Fear of Falling Scoring: LOW CONCERN 7-8 MODERATE CONCERN 9-13 HIGH CONCERN 14-28 (Fall Efficacy Scale-I - Short FES-I. (2019). Retrieved 21 December 2019, from https://sites.manchester.ac.uk/fes-i/) Score: ----------------------------------------------------------------------------------------------------------------------------------------