Do you have weak muscles? *

Yes

No

Do you worry or feel anxious a lot? *

Yes

No

Do you regularly use, or have you used over long periods of time, products containing steroids or steroidal inhalers? *

Yes

No

Do you spend an average of 15 minutes per day outside in the sunlight with your arms exposed and without wearing sunscreen? *

Yes

No

Do you drink more than two servings of alcohol each day? *

Yes

No

Do you drink more than two servings of soda, coffee, or other caffeinated beverages each day? *

Yes

No

Are you perimenopausal or menopausal? *

Yes

No

Are you a current smoker? *

Yes

No

Have you experienced a bone fracture as an adult? *

Yes

No

Have you been told you have osteopenia or osteoporosis as the result of a bone density test? *

Yes

No

Do you do weight-bearing exercise with weight that is more than your body weight? *

Yes

No

What is your age? *

Who should we send the results to?

Full Name *

Email *