Objective: This research investigated relationships between forward head posture, physical activity, and balance in older adults to aid in fall prevention. Methods: Thirty-two participants assessed using Godin Shephard Leisure Time Physical Activity Questionnaire, craniovertebral angle (CVA), Functional Gait Assessment (FGA), Sensory Organization Test (SOT), and limits of stability (LOS). Results: Significant relationships identified for LOS average posterior and CVA (P = .038), FGA (P = .025), and SOT (P = .036). Age had a significant inverse relationship with all variables. Age was the only predictor of FGA (P = .005). Conclusion: Posterior LOS may be appropriate to assess fall risk in older adults.