Mobility & Wellness Screening — Skyline Imperial Gardens

Healthy IG · Phase 1

Know where you stand before a fall does.

A 5-minute screening that gives you a personalised mobility report — and a clear care plan you can act on today.

Most mobility decline is silent. Strength fades gradually. Balance shifts slowly. And by the time a fall happens, the warning signs had been there for months — they just weren't measured.

This screening asks you about your movement, balance, daily activity and health — and uses it to produce a personalised wellness report that tells you exactly where you stand and what to do next.

Your report is yours to keep — take it to your doctor, share it with your family, or use it to decide your next step for your health.

"We have the space, we have the intent, and we have each other as neighbours. What we need now is to take the first step — starting with knowing where we stand."

Dr. Praveen G Pai (K10C) · Healthy IG initiative

What you receive at the end

📊Your mobility risk level — Low, Moderate, High or Needs Review

🩺A domain-by-domain assessment — balance, strength, gait, activity, medical flags

📋A personalised care plan — specific, actionable, written for your situation

📄A doctor-ready summary — formatted so your physician immediately understands your profile

💬Download, print or share — take it wherever it's useful

Step 1 of 7

Your details

Used only to personalise your report and for the Healthy IG community wellness record.

Full name

Please enter your name

Flat number

Please enter your flat number

Age

Please enter a valid age (35–100)

Gender

Mobile number (optional — for wellness coordinator follow-up)

Need help filling this in? Chat with Dr. Pai (K10C)

Step 2 of 7

Falls and balance

Falls and near-falls are among the strongest predictors of future risk. Answer honestly — this is only to help you.

Have you fallen in the last 12 months?

No

Yes, once

Yes, more than once

Have you had a near-fall — feeling unsteady or grabbing something to avoid falling?

No, I feel steady

Occasionally

Frequently

How worried are you about falling? (1 = not at all · 10 = extremely)

Not worriedVery worried

Can you stand on one leg for 10 seconds without holding anything?

Yes, easily

Yes, but it is difficult

No, I cannot manage it

I have not tried

Questions? WhatsApp Dr. Pai (K10C)

Step 3 of 7

Strength and daily movement

Can you rise from a chair without using your hands?

Yes, easily

Yes, but with noticeable effort

Only if I use the armrests or my hands

Very difficult even with support

How do you manage stairs?

Easily, without holding the railing

I use the railing as a precaution

Slowly and carefully, one step at a time

I avoid stairs or need someone's help

Do you use a walking aid?

No — I walk independently

Sometimes — a stick or cane on longer walks

Always — a stick or cane

A walker or rollator

Can you carry a bag of groceries while walking?

Yes, comfortably

Yes, but I'm careful and it's tiring

Difficult — I avoid carrying heavy things

I cannot manage this

Step 4 of 7

Walking and daily activity

How far can you walk comfortably without stopping?

More than 1 km without difficulty

500 metres to 1 km

Around 100 to 500 metres

Less than 100 metres

How physically active are you on most days?

Very active

Regular walks, yoga, gym or structured exercise

Moderately active

Light daily walking or household activity

Somewhat sedentary

Mostly sitting, occasional short movement

Very sedentary

Limited movement, mostly at home or in bed

Walking confidence outside your flat, alone (1 = not at all · 10 = fully confident)

Not confidentFully confident

Step 5 of 7

Pain and joint health

Do you experience pain in your knees, hips or back that limits movement?

No significant pain

Mild pain — does not limit my activity

Moderate pain — I avoid certain movements

Severe pain — significantly restricts me

Do you experience dizziness when you stand up or change position?

No

Occasionally

Frequently

How well do you sleep? (poor sleep affects balance and strength)

Well — 6 to 8 hours most nights

Fairly well — some broken nights

Poorly — most nights are disrupted

Step 6 of 7

Health background

This helps identify any conditions that need care before exercise begins. Honest answers protect you.

Do you experience any of these? Select all that apply

Dizziness or lightheadedness when standing or moving

Shortness of breath with mild activity like walking

Chest pain or palpitations

Uncontrolled or frequently high blood pressure

Recent surgery, fracture or hospitalisation (last 6 months)

Diabetes affecting leg sensation or wound healing

Neurological condition — stroke, Parkinson's, or similar

Significant vision or hearing impairment

None of the above

Have you been advised by a doctor to avoid physical exertion?

No

Yes

I am not sure

How many prescription medications do you take daily?

None

1 to 2

3 to 5

More than 5

Step 7 of 7

Your goals and readiness

What matters most to you right now?

Staying independent — not needing to rely on others

Reducing my risk of falling

More energy and strength for day-to-day life

Continuing things I love — travel, walks, cooking

Overall healthy, active ageing

How ready are you to join a supervised fitness programme right here at IG?

Ready to start now

Want more information before deciding

Interested but a little hesitant

Just exploring for now

Anything else you'd like your report to consider? Optional

Have a question before submitting? Chat with Dr. Pai (K10C)

Preparing your personal report

Your responses are being carefully assessed

Reviewing your falls and balance history

Assessing strength and gait patterns

Evaluating activity levels and pain profile

Checking medical flags and safety indicators

Writing your personalised care plan

Saving your report to the Healthy IG record

Healthy IG · Senior Wellness Screening Report

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Overall Mobility Risk

—

Assessment by Domain

Your Personal Assessment

Your Care Plan

Note for your doctor or physiotherapist

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This report was generated by the Healthy IG Senior Mobility Screening tool · Skyline Imperial Gardens, Kochi
Community initiative coordinated by Dr. Praveen G Pai (K10C)

Senior Fitness Centre at Skyline IG

Based on your assessment, a supervised programme at the IG centre would directly address your specific needs.

🏠 Using the existing IG gym · no travel needed

👥 Small supervised groups · your pace, your ability level

📅 Flexible morning and evening slots

💰 Shared cost: approximately ₹1,000–2,000/month per participant

Express interest — WhatsApp Dr. Pai

Important: This report is a community wellness screening tool. It does not constitute a medical diagnosis or replace consultation with your doctor or physiotherapist. If red-flag symptoms were noted, please seek medical attention before starting any exercise programme. Your data is stored securely for the Healthy IG wellness initiative only.