Coalition Contact Information

Mission: To estimate the reach and impact of the states and local communities participating in the 14th Annual Fall Prevention Awareness Week on September 20-24, 2021.

Objective: To build on and capture the momentum and enthusiasm from Falls Prevention Awareness Week 2021 with the goal of uniting professionals, older adults, caregivers, and family members to play a part in raising awareness and taking action to prevent falls.

***Note: Please include all activities delivered in-person, virtually, remotely, using the telephone, or by mail. 

Please complete this survey by COB on November 1, 2021.

Question Title

* 1. Answer the following to introduce yourself:

Question Title

* 2. Are you a member of a falls prevention coalition?

Question Title

* 3. Answer the following for the survey respondent:

T