Assistive Devices Safety Quiz Form
Test your knowledge about the safe use of assistive devices. Please answer all questions to the best of your ability.
Which of the following is considered an assistive device?
*
Wheelchair
Crutches
Walker
All of the above
Select all actions that help maintain wheelchair safety.
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Regularly check tire pressure
Keep brakes engaged when stationary
Overload the wheelchair with heavy bags
Clean wheels and frame regularly
How confident are you in using a walker safely?
*
1
2
3
4
5
When using crutches, which technique is safest for going up stairs?
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Lead with the injured leg
Lead with the uninjured leg
Move both legs at once
Hop up the stairs
Identify safe practices for using a cane.
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Use the cane on the stronger side
Check the rubber tip for wear
Walk as fast as possible
Ensure the cane height is adjusted properly
Rate your understanding of fall prevention while using assistive devices.
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Not at all
1
2
3
4
Very well
5
1 is Not at all, 5 is Very well
What should you check before using any assistive device?
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Device is clean and undamaged
Device matches user height
All parts are secure
All of the above
Match the device to its correct use scenario.
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Rows
Scenario
Crutches
Stairs
Long walks
Balance support
Transport
Cane
Stairs
Long walks
Balance support
Transport
Wheelchair
Stairs
Long walks
Balance support
Transport
Walker
Stairs
Long walks
Balance support
Transport
Which of the following is NOT a safe practice when using assistive devices?
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Using damaged equipment
Following manufacturer instructions
Regular maintenance checks
Proper adjustment for user
Rate the importance of training before using a new assistive device.
*
Not important
1
2
3
4
Extremely important
5
1 is Not important, 5 is Extremely important
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