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NAME DOB The Activities specific Balance Confidence (ABC) Scale×Instructions to Participants: For each of the following activities, please indicate your level of confidence in doing the activity
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Gather the necessary materials: Activity-specific balance confidence form, pen or pencil.
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Read each question carefully and provide the most accurate and honest answers possible.
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If you are unsure about a question, try to think back to previous activities and events that may help you answer.
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Who needs form activities-specific balance confidence?

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Individuals who are seeking to assess their confidence levels in performing specific daily activities in relation to their balance.
02
Healthcare professionals such as physical therapists or doctors may also use this form to evaluate a patient's balance confidence.
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Form activities-specific balance confidence is a questionnaire designed to assess an individual's balance confidence during daily activities.
Form activities-specific balance confidence is typically filled out by individuals who have experienced a fall or have issues with balance.
To fill out form activities-specific balance confidence, individuals are asked to rate their confidence in performing various daily activities without losing balance on a scale from 0 to 100.
The purpose of form activities-specific balance confidence is to help healthcare professionals assess an individual's perception of their own balance abilities and tailor treatment accordingly.
The information reported on form activities-specific balance confidence includes the individual's ratings for each daily activity as well as any comments or additional feedback.
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