Steady Steps referral form

Overview

Please use this self-referral form for a place on Steady Steps, a free postural stability (the ability to maintain an upright position) exercise programme for people aged 65 or over who have previously fallen (or are worried about falling).

Designed to help improve balance, stability, muscle strength and everyday functions. Steady Steps classes are tailored to each client’s ability level and progressions will be made week on week.

The information you provide will help Steady Steps instructors tailor the program to suit your needs. Please answer honestly - there are no right or wrong answers to any of the questions!

You can save and return to this form at any time (valid email address required).