Available in English and Spanish.

Categories of questions asked:

• Safety (during exercise, home set up, tripping hazards, etc)
• Recent falls (fall frequency)
• Use of assistive device
• Scenarios in which patient feels unsteady
• Symptom experience (no questions about pain)
• Adherence to home program
• Time/effort to complete exercises
• Weekly progress update (perceived improvement/progress)
• Confidence in self-management

Example of questions:

Hi [patient name]! 👋

In which situations do you most often find yourself losing your balance or feeling unsteady?

Thanks, [provider name]

Hi [patient name]! 👋

Are you completing your balance exercises safely (in front of the countertop, sink, or chair ;by the bedside)? Reply YES or NO