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Osteoporosis Fracture Risk Questionnaire

Please take the following osteoporosis questionnaire to see if you are at risk for osteoporosis or osteopenia. This quiz is designed for both men and women of all ages.

First Name:
Age:

		Yes	No
1	Do you have weak muscles?
2	Do you smoke?
3	Have you lost and regained more than 10 pounds at least three times during your life?
4	Do you eat meat (beef, pork, chicken) or fish once a day?
5	Do you tend to worry a lot?
6	Are you more often unhappy than happy?
7	Do you exercise (at least 20 minutes) three times a week?
8	Have you had three or more significant health problems (in your own opinion)?
9	Do you spend 30 minutes three times a week outside in the sunshine?
10	Do you consume two servings per day of dairy or green leafy vegetables or calcium fortified food (such as fortified OJ or fortified soy milk)?
11	Have you had three or more major surgeries in your life involving general anesthesia?
12	Do you consider yourself underweight?
13	Do you regularly use, or have used over long periods of time, glucocorticoids "steroids drugs (such as Prednisone or steroid inhalers) or high dose steroid medication?
14	Have you lost half or more of your natural teeth?
15	Have you lost two or more inches of height?
16	Do you generally consume four servings of vegetables a day?
17	Do you drink two cups of coffee or two sodas everyday?
18	Do you drink more than two servings of alcohol a day?
19	Have you experienced a bone fracture not due to a severe trauma?
20	(Men please answer 'No') During your menstruating years, were there times when your period stopped for many months (not including pregnancy, lactation or menopause)?

If you hit the 'Get Results' button and nothing happens, it is most likely that your browser does not accept the scripts used in this questionnaire. You can download a PDF version of this osteoporosis questionnaire with the scoring at the bottom.

This osteoporosis questionnaire is intended for your general knowledge only and is not a substitute for medical advice or treatment for specific medical conditions. Please consult with your physician if you think you are at risk for osteoporosis or osteopenia.

 

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