Home Evaluation

Since each person's living and personal situation is unique, it might be helpful to start with our quick and easy home evaluation for hints about what you and your family can do to make your home safer and more comfortable. It's unlikely you will need to use all of the suggested recommendations, but if you find even one of them helpful, it's likely to contribute to improving the quality of your life, and that's really what this section is all about--your continued safety, comfort, and well-being.

Environmental Evaluation Questionnaire

You can start by using this questionnaire to evaluate your home for safety and lighting. Then follow the "Tell me more" links to learn about the changes you can make to increase safety, organization, and accessibility throughout your home.

Safety in Your Home

  1. Do you have working smoke detectors and carbon monoxide detectors? _____
  2. Do you know how to change the batteries in the detectors? _____
  3. Do you have an emergency escape plan from your home? _____
  4. Do you have a current list of emergency numbers you can access and use, including your doctor's number? _____ Tell me more about using the telephone.
  5. Is the telephone accessible and can you use it easily in an emergency? _____ Tell me more about Using the Telephone.
  6. Are walkways within your home open and free of clutter? _____ Tell me more about organization.
  7. Is the carpet on the stairs secure --not worn or loose? _____
  8. Are there railings on every set of stairs? _____
  9. Are the railings secure, or are they wobbly, loose or missing? _____
  10. Are there any area rugs that are loose on the floor, or other potential tripping hazards that should be either removed or secured? _____ Tell me more about home safety.
  11. Are there any loose cords or wires that could be a tripping hazard? _____
  12. Do you have a working fire extinguisher in the kitchen? _____ In the house? _____ Tell me about kitchen safety.
  13. Are there any light bulbs that need to be replaced to give you better lighting in a room or hallway? _____ Tell me more about Home Modifications.
  14. Are any rooms or areas of your home dark, and in need of lamps or lights to help you function better? _____ Tell me more about home modifications.
  15. Does your bathroom need rails in the tub or near the toilet for you to use these facilities with more safety and confidence? _____
  16. Are the rugs on the floor of the bathroom backed with a non-skid material? _____
  17. Does your tub have a mat in it or gripper strips to help prevent a fall? _____
  18. Are there chairs or seats in your home that you have trouble getting up and out of? _____ Tell me more about Home Modifications.
  19. Are the appliances in your home safe and easy for you to use? _____
  20. Can you read the dials on the stove, microwave, or other appliances? _____
  21. Do you need better lighting near these appliances? _____
  22. Do you need to mark the dials for ease of use? _____ Tell me more about labeling and marking.
  23. Do you need to change to a smaller or table-top type of appliance for ease of use? _____
  24. Do you need to sit rather than stand for many of your daily tasks, cooking, washing dishes, washing clothes? _____
  25. Can you reduce the number of rooms you and the family regularly use and need to care for? _____
  26. If you have a multi-level home, could you live on one floor? _____
  27. Can you make your house easy-maintenance, or do you need to hire help to maintain it? _____

Lighting and Glare

  1. Does the lighting in each room, closet or other location help you move around safely, or are there potential accident areas? _____ Tell me more about Lighting.
  2. Are you taking advantage of natural lighting coming from windows, or are you using heavy curtains that block the light? _____
  3. Do you need different lighting solutions for activities that take different amounts of time? _____
  4. Does the lighting adequately cover potential accident areas such as stairs and landing, entrance hall, or any other level changes? _____
  5. Do you need "spot" lighting for specific tasks, for example, when you're shaving, applying makeup, reading a book, or preparing food? _____
  6. Do your chairs or sofa face windows where bright sunlight could cause glare? _____ Tell me more about Home Modifications.
  7. Are there areas in your home that have glossy tiles, shiny enamel paint, or mirrors that cause glare? _____ Tell me more about Color and Contrast.
  8. When you view your TV or use your computer are both you and the TV/computer protected from glare? _____
  9. Is the lighting immediately outside your door good enough for you to lock/unlock your door in a short amount of time? _____ Tell me more about Home Modifications.

Color & Contrast

  1. Would it help to have contrasting colored plates against a tablecloth or place mat? _____ Tell me more about Contrast and Color.
  2. Would it help to have two chopping boards: one white and another black? _____
  3. Can you easily locate your wall sockets? _____ Tell me more about Household Safety.
  4. Do you feel safe in your one-color tub and shower? _____
  5. Do you sometimes have difficulties locating doorways? _____ Tell me more about Home Modifications.
  6. Are your furniture and surroundings all of a similar color? _____
  7. Are you having problems with doors left open? _____ Tell me more about Upper Body Protective Techniques.
  8. Are you having problems locating and using household equipment controls? _____ Tell me more about Labeling and Marking.
  9. Difficulties with same colored pans on same colored stove? _____
  10. Would it help to paint the stair handrail a contrasting color to the surrounding carpet or wall? _____

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