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Rocky's Agency on Aging
Falls Free Checkup
Name
First Name *
Last Name *
Phone Number
Email
Who's information will you be providing?
My own Information
A friend or family member's information
My patient's information
My client's information
I have fallen in the past year
Yes
No
I use or have been advised to use a cane or walker to get around safely
Yes
No
Sometimes I feel unsteady when I am walking
Yes
No
I steady myself by holding onto furniture when walking at home
Yes
No
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I am worried about falling
Yes
No
I need to push with my hands to stand up from a chair
Yes
No
I have some trouble stepping up onto a curb
Yes
No
I often have to rush to a toilet
Yes
No
I have lost some feeling in my feet
Yes
No
I take medicine that sometimes makes me feel light-headed or more tired than usual
Yes
No
I take medicine to help me sleep or improve my mood
Yes
No
I often feel sad or depressed
Yes
No
Welcome to Rocky
Senior Services
Rocky's Agency on Aging
Senior Centers
Helena Senior Center
Rural Senior Centers
AmeriCorps Seniors
Senior Companion Program
Foster Grandparent Program
Retired & Senior Volunteer Program (RSVP)
Senior Nutrition
Senior Commodities
Meals on Wheels
Menus
Transportation
Child & Family
Rocky Mountain Preschool Center
Rocky's Head Start Program
Energy Services
Energy Services Overview
LIHEAP
Weatherization
Energy Share
Housing Services
Housing
Eagle Manor Residences
North Helena Rentals
Big Boulder Residences
Red Alder Residences
Augusta
Townsend
Home Buyer Education
Homebuyer Education Intake Packet
Who We Are
Board of Directors
Program Directors
Mission & History
Financials
Careers
Board Meeting Agendas
Board Meeting Minutes
Locations
What We Do
Welcome to Rocky
Senior Services
Rocky's Agency on Aging
Senior Centers
Helena Senior Center
Rural Senior Centers
AmeriCorps Seniors
Senior Companion Program
Foster Grandparent Program
Retired & Senior Volunteer Program (RSVP)
Senior Nutrition
Senior Commodities
Meals on Wheels
Menus
Transportation
Child & Family
Rocky Mountain Preschool Center
Rocky's Head Start Program
Energy Services
Energy Services Overview
LIHEAP
Weatherization
Energy Share
Housing Services
Housing
Eagle Manor Residences
North Helena Rentals
Big Boulder Residences
Red Alder Residences
Augusta
Townsend
Home Buyer Education
Homebuyer Education Intake Packet
How To Help
Donate
Volunteer
Friends of Head Start
Monthly Giving: Part of the Rocky Family
Legacy Society
Join Our Mailing List
Impact
Testimonials
Statistics
News Archives
Community Needs Assessment
Lewis and Clark Public Health 2024 Community Health Assessment
Events
Calendar
Rocky Presents Chopped
Friends of Head Start Extravaganza Page
Donate
Senior Center Menus
Neighborhood Center Class Calendar
2024 Community Health Assessment
Facebook
Instagram
Use the up and down arrows to select a result. Press enter to go to the selected search result. Touch device users can use touch and swipe gestures.
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