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Four-Stage Balance Test

Record each attempted CDC Four-Stage Balance Test hold without turning missing stages into zero.

Record the test

Enter 0–10 seconds only for attempted stages. Leave later stages blank after the first unsuccessful hold.

Leave blank for not attempted / stopped for safety.
Leave blank for not attempted / stopped for safety.
Leave blank for not attempted / stopped for safety.
Leave blank for not attempted / stopped for safety.
Recorded result
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Enter the attempted test information. Blank values are never treated as zero.

CDC setup and sequence

Use a stopwatch, keep eyes open, and do not use a cane or walker. A helper should stand close enough to assist. Time each position until 10 seconds, the feet move, or support is needed.

  1. Feet side by side.
  2. Semi-tandem: instep of one foot touching the other foot’s big toe.
  3. Tandem: heel touching the other foot’s toes.
  4. Stand on one foot.

Proceed only after a 10-second hold and stop after the first unsuccessful stage. This protocol does not define a 0–4 clinical score, so none is reported here.

For a separate self-assessment, complete the CDC Stay Independent Fall Risk Questionnaire.

Original CDC STEADI Four-Stage Balance Test protocol (PDF). SPPB uses a separate three-position balance protocol.

Safety: Have another person close enough to assist. Stop if the person becomes unsteady, needs support, or has concerning symptoms. This educational recording tool is not a diagnosis and does not predict whether a particular person will fall.