Objectives <p>The main objective of the study was to explore and compare patient and carer perception of risk of falls using a concept perception of falls risk scale. We also investigated the relationship between poor perception of falls risk and potential determinants of poor perception of falls risk.</p> Methods <p>A cross-sectional quantitative study was developed to capture perception of risk of falls. Informed written consents were obtained. Face to face and telephone interviews were conducted with questionnaires to explore perception of patients and carers about falls risk.</p> Results <p>Participants underwent a structured interview answering survey questions related to perceptions and experiences of falls. Data was collected for 76 patients and 36 carers. 81% of the analysis population exhibited poor perception of falls risk in our concept perception of falls risk scale; this was evident among 88% of patients compared to 67% of carers. Both age and psychotropic medication were found to be potential determinants of differences in poor perception of falls risk.</p> Conclusion <p>Perception of risk of fall is low among older adults and their carers. This study findings suggest participants in various settings and their carers need education about their falls risk to improve their falls risk awareness.</p>