Tinetti balance assessment scale

Balance section:
sitting balance
rises from chair
attempts to rise
immediate standing balance (first 5 seconds)
nudged
eyes closed
turning 360 degrees
sitting down

Gait section:
indication of gait
step length and height
foot clearance
step symmetry
step continuity
path
trunk
walking time

Source: http://www.bhps.org.uk/falls/documents/TinettiBalanceAssessment.pdf