Inclusion Criteria:

• Participants will be adults 60 years old and older.
• Have requested a home safety evaluation from Family Service Rochester and are willing to participate in the Build Better Balance exercise program.
• Participants will be included if they are 60 years old and older.
• Can speak conversational English.
• Able to complete interviews and questionnaires over the phone or video chat
• Read workbook materials (English translation is only available) and ambulate independently with or without a gait aide. Inclusion criteria will further include any risk factors for falling (such as fear of falling, history of falls within the last 12 months or polypharmacy).
• These inclusion criteria are broad in order to reflect older adults that are aging and have a fall risk potential.

Exclusion Criteria:

• Individuals will be excluded if they are unable to answer “yes” to all questions on the Mayo Clinic IRB’s Informed Consent for Research A Guide to Assessing a Participant’s Understanding.
• Individuals will also be excluded if they have vision, hearing or cognitive impairment preventing the participants from reading workbook materials, hearing or verbally communicating over the telephone or following through on an exercise program.
• Further exclusion criteria will include living in a skilled nursing facility or assisted living facility, non-ambulatory or bedridden, report of being hospitalized more than 3 times in the last year, needs physical assistance to transfer or walk, recent history of acute illness including stroke or severe neurologic impairment. Individuals who are unable to participate due to high fall risk potential or other complications will be referred back to FSR or their primary care provider for appropriate services.