Answer ‘yes’ or ‘no’ to the questions below:
1. Do you weigh less than 120 pounds?
2. Do you have weak muscles?
3. Do you worry or feel anxious a lot?
4. Do you feel unhappy or unsatisfied much of the time, or suffer from depressive moods?
5. Do you often use acid-blocking medications called proton pump inhibitors like Prilosec™ or Prevacid™?
6. Do you regularly use, or have you used over long periods of time, products containing steroids like Prednisone or steroidal inhalers?
7. Do you spend an average of 15 minutes per day outside in the sunlight with your arms exposed and without wearing sunscreen?
8. Do you consume less than 5 half-cup servings of fruits and vegetables each day?
9. Do you drink more than two servings of alcohol each day?
10. Do you drink more than two servings of soda, coffee or other caffeinated beverages each day?
11. Are you perimenopausal or menopausal?
12. If you answered Yes to question 11, how would you rate your menopause symptoms (hot flashes, night sweats, vaginal dryness, weight gain, insomnia, etc)?
13. Are you a current smoker?
14. Have you experienced a bone fracture as an adult?
15. Have either of your parents or grandparents fractured a hip?
16. Have you been told you have "osteopenia" or "osteoporosis" as the result of a bone density test?
17. Do you have ongoing bone loss as documented by two or more consecutive bone density tests?
18. Do you exercise for 30 minutes per day, at least four days per week?
19. Have you lost half or more of your natural teeth?
20. Do you suffer from joint pain, swelling, or inflammation?
21. Do you have difficulty falling asleep or staying asleep?
22. What’s your age?
