Wise Moves Form
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Wise Moves Form

Wise Moves Form

Information

Have you had a fall within the last 2 years?
How confident can you walk over uneven pavement without losing your balance?
How confident can you pick up something from the floor (without support) without losing your balance?
How confident can you sit and stand in a chair (without using your arms) without losing your balance?

Health Professional's Details

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