1. Screening tool for oesteoporosis

Oesteoporosis is thinning of the bones, and early detection of the ondition can be vital in prolonging life for those at risk.

This survey helps identify those at risk and allow an appropriate assessment to be made.

PLease fill this in if you are aged 40-90.

* 1. Forename

* 2. Surname

* 3. Date of birth

Date of birth

* 4. Gender

* 5. Measurments

* 6. Do any of the following apply to you?

  yes no
Previous hip fracture?
Parents had a fracture?
Have been diagnosed with rheumatoid arthiritis?
Taken oral steroids (prednisolone 5mg or more) for longer than 3 months?
currently smoking?
drink more than 3 units of alcohol a day?

* 7. Do you have any of the following conditions?