Check Your Risk Factors

Y

N

1. Are you a woman older than 65 years?

1. Are you a woman older than 65 years? Yes 1. Are you a woman older than 65 years? No

2. Are you a man older than 70 years?

2. Are you a man older than 70 years? Yes 2. Are you a man older than 70 years? No

3. Have you broken a bone after the age of 40?

3. Have you broken a bone after the age of 40? Yes 3. Have you broken a bone after the age of 40? No

4. Has anyone in your family broken a hip?

4. Has anyone in your family broken a hip? Yes 4. Has anyone in your family broken a hip? No

5. Are you underweight for your height?

5. Are you underweight for your height? Yes 5. Are you underweight for your height? No

6. Do you smoke?

6. Do you smoke? Yes 6. Do you smoke? No

7. Do you drink more than 2 alcoholic drinks?

7. Do you drink more than 2 alcoholic drinks? Yes 7. Do you drink more than 2 alcoholic drinks? No

8. Do you have a medical condition that can cause osteoporosis?
Click here to check.

8. Do you have a medical condition that can cause osteoporosis? Yes 8. Do you have a medical condition that can cause osteoporosis? No

9. Do you take a medicine that can cause osteoporosis, like a glucocorticosteroid?
Click here to check.

9. Do you take a medicine that can cause osteoporosis, like a glucocorticosteroid? Yes 9. Do you take a medicine that can cause osteoporosis, like a glucocorticosteroid? No

10. Do you have a propensity to fall, or do you have a problem with balance?

10. Do you have a propensity to fall, or do you have a problem with balance? Yes 10. Do you have a propensity to fall, or do you have a problem with balance? No

11. Is your diet low in calcium and vitamin D?

11. Is your diet low in calcium and vitamin D? Yes 11. Is your diet low in calcium and vitamin D? No

Download a copy of your osteoporosis risk questionnaire results and take it to your next doctor’s appointment.

Your PDF should be available now.

An error occured.

[field id="rfa-are-you-a-woman-older-than-65"]

[field id="rfa-are-you-a-man-older-than-70"]

[field id="rfa-broken-bones-post-40"]

[field id="rfa-family-broken-hip"]

[field id="rfa-underweight-height"]

[field id="rfa-do-you-smoke"]

[field id="rfa-2-alcoholic-drinks"]

[field id="rfa-medical-condition"]

[field id="rfa-medicine-that-causes-osteoporosis"]

[field id="rfa-fall-balance"]

[field id="rfa-low-calcium-vitamin-d"]

Do you have risk factors for osteoporosis and fractures?