Are you at risk for Osteoporosis?

Are You?
Male
Female

What is your age?
Under 34
35-55
55-75
Over 75

Are you?
Caucasian
Asian
African American
Hispanic

Do you have a "fair" complexion?
No
Yes

Do you have a small-boned frame?
No
Yes

Are you thin?
No
Yes

Do you eat at least 5 servings of dairy products each day OR take a calcium supplement?
Yes
No

Do you have a family history of Osteoporosis?
No
Yes

Do you have relatives with a history of fractures or broken bones after age 35?
No
Yes

Have you lost more than 2 inches in height since age 25?
No
Yes

Do you REGULARLY take these medications?
(add 1 point for EACH medication in the categories below, that you take)
These classes of medications can cause rapid bone loss and/or decrease in calcium
absorption.
Cortisone (steroids)
Antacids
Anticonvulsants
Thyroid
Laxatives
Blood Thinners

Do you smoke? & lt; /B>
No
Yes

Do you drink more than 4 cups of coffee, or other beverages with caffeine, each day?
No
Yes