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Welcome to the website for West Springfield, Massachusetts
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Virtual Towns & Schools Website
 
Falls Risk Assessment
Elderly Falls Research
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Choose from the following:
CheckboxesCheckbox DescriptionCheckboxesCheckbox Description
Age 65 and older?
 
 
Take 4 or more medications daily?
 
 
Use cane, walker, wheelchair or furniture to walk?
 
 
Have poor vision or poor hearing?
 
 
Use oxygen all or part of the time?
 
 
Have incontinence or urgency?
 
 
Have had a stroke?
 
 
Drink 1 or more glasses of beer, wine or alcohol on a daily basis?
 
 
Need help to get into or out of bed?
 
 
Female?
 
 
Please provide the following information:
Field DescriptionField DataRequired Field
required
required
Field DescriptionField Data
*** Please use the following Email address above: fallsresearch@west-springfield.ma.us ***
  
 
Town of West Springfield  26 Central St., West Springfield, MA 01089                                                                                                    Website Disclaimer
To contact Schools, School Administration or Special Education Services, please call (413) 495-1774            Municipal Offices, please call (413) 495-1891