This study demonstrates how a Rasch analytic approach can be used to create Fear of Falling Measures that remain connected to the meaningful descriptions provided by the instrument items. Analysis of responses from community dwelling elderly revealed that the two middle rating scale categories (a little worried and moderately worried) were not being used in the expected fashion. After modification of the rating scale, Rasch analysis showed that the three items causing the least worry (get dressed, get on/off toilet, and get in/out of bed) were statistically erratic.