Objective To translate and validate a fall risk self-assessment tool of the STEADI (Stopping Elderly Accidents, Deaths & Injuries) Toolkit into simplified Chinese, and to provide a practical fall-risk screening tool for the elderly.Methods Stay Indepen-dent Brochure of the STEADI Toolkit was translated into simplified Chinese, then back-translation and cultural adaptation was conducted to develop the questionnaire for pilot survey. Ten medical staff, 197 hospitalized elderly patients, 196 elderly outpatients and 232 community-dwelling elderly residents were surveyed to test the validity and reliability.Results The Cronbach′s α coefficient of the scale was 0.716 in hospitalized participants, 0.674 in outpatients, and 0.608 in community samples.The test-retest reliability was 0.992, 0.996 and 0.998, respectively. The scale level content validity index/universal agreement (S-CVI/UA) was 0.920,scale level CVI/average agreement (s-CVI/AVE) was 0.980,and item level CVI (I-CVI) ranged from 0.800 to 1.000. Four factors were identified through exploratory factor analysis, and items of each factor in hospitalized participants, outpatients and community samples were different, which could explain 54.096%, 52.730% and 51.180% of the total variance, respectively. Conclusion The Chinese version of fall risk self-assessment tool demonstrates good reliability and validity and is suitable for self-assessment of fall risk in Chinese elderly.However, actual living situation and health status of the elderly should be considered additionally when we use the tool to determine the fall risk.