| No. | Questions | Yes | No | I don’t know |
| 1 | Older people who have experienced falls in the past are likely to fall again. | ① | ② | ③ |
| 2 | Falling is the most frequent among the hospital safety accidents for hospitalized elderly. | ① | ② | ③ |
| 3 | Falling increases the mortality rate of older people. | ① | ② | ③ |
| 4 | Most hip fractures in the elderly are caused by falls. | ① | ② | ③ |
| 5* | Sliding is not a fall. | ① | ② | ③ |
| 6 | The more drugs you take, the greater your risk of falling. | ① | ② | ③ |
| 7 | The greater the number of diseases, the greater the risk of falling. | ① | ② | ③ |
| 8* | Depression and falling are not related. | ① | ② | ③ |
| 9 | People with vision impairments are at increased risk of falling. | ① | ② | ③ |
| 10* | People with insensitive hands and feet are not associated with falls. | ① | ② | ③ |