| Windows/Doors |
Yes |
No |
| Are windows/doors easy to open/close? |
 |
|
| Are locks sturdy/easy to operate? |
|
|
| Are doors wide enough for a walker/wheelchair? |
|
|
| Are door thresholds raised too high? |
|
|
| Is there space to maneuver while opening/closing doors? |
|
|
| Does the front door have a view panel? |
|
|
| If so, is it at a proper height for you? |
|
|
| |
|
|
| Floor Surfaces |
Yes |
No |
| Is the surface safe? Non-slip? |
|
|
| Are there scatter rugs or door mats that may be dangerous? |
|
|
| Are there changes in levels? |
|
|
| If so, are they obvious or marked in some way? |
|
|
| |
|
|
| Steps/Stairways/Walkways |
Yes |
No |
| Are they in good repair? Smooth/safe surfaces? |
|
|
| Are there handrails on both sides of stairway? |
|
|
| Is there grasping space for both knuckles and fingers on railings? |
|
|
| Are the stair treads deep enough for your whole foot? |
|
|
| Would a ramp be feasible in any of these areas if it became necessary? |
|
|
| |
|
|
| Appliances/Kitchen/Bath |
Yes |
No |
| Is arrangement convenient and safe? |
|
|
| Can oven/refrigerator be opened easily? |
|
|
| Are stove controls easy to use? |
|
|
| Are they clearly marked? |
|
|
| Is counter height/depth good for you? |
|
|
| Can you sit while working? |
|
|
| Are door cabinet knobs easy to use? |
|
|
| Are faucets easy to use? |
|
|
| Do you have convenience items such as a garbage disposal? |
|
|
| A trash compactor? |
|
|
| A hand-held shower head? |
|
|
| Can you get in and out of tub/shower with ease? |
|
|
| Do you have bath/shower seat? |
|
|
| Are there grab bars where needed? |
|
|
| Is hot water heater regulated to prevent scalding/burning? |
|
|
| |
|
|
| Storage |
Yes |
No |
| Is storage located conveniently? |
|
|
| Is storage adequate and usable? |
|
|
| Can you easily reach closet items? |
|
|
| Have you maximized your storage space with innovative products? |
|
|
| |
|
|
| Electrical Outlets/Switches/Alarms |
Yes |
No |
| Are outlets/switches easy to turn on/off? |
|
|
| Are outlets properly grounded to prevent electrical shock? |
|
|
| Are extension cords in good condition? |
|
|
| Are they needed? |
|
|
| Do you have smoke detectors in all necessary areas? |
|
|
| Do you have an alarm system? |
|
|
| Is the telephone readily available for emergencies? |
|
|
| Is the telephone equipped for hearing enhancement if necessary? |
|
|
| Can you hear the doorbell in every part of the house? |
|
|
| |
|
|
| Lighting/Ventilation |
Yes |
No |
| Is lighting sufficient for purpose of area? |
|
|
| Is lighting bright enough for safety? |
|
|
| Do you have night lights where needed? |
|
|
| Is area well-ventilated? |
|
|
| |
|
|
| Driveway/Garage |
Yes |
No |
| Is parking space available |
|
|
| Is it convenient to entrance way? |
|
|
| Does garage door have an automatic opener? |
|
|
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