Have you fallen? Have you fallen? The incidence of falls is increasing in Wandsworth and because we plan the fall service, we would like your views about certain issues if you have had a fall in the last year. OK Question Title * 1. Do you know what caused you to fall? Please describe how your fall came about and what happened next? OK Question Title * 2. Have you had the following in the last 12 months? Medication Review Eyes Tested Foot Check OK Question Title * 3. What impact has your fall had (if any) on your daily living? OK Question Title * 4. Any other comments? OK Question Title * 5. If you would like us to inform you of the results of this questionnaire and / or would be interested in taking part in a focus group around falls, please leave your contact details below. Name Email Address OK DONE