Use this checklist to assess your risk for low bone density, osteoporosis, and fractures. Choose all that apply.

Personal and Family History

• [ ] (1) History of fragility fracture after age 40 (a fracture from a minor fall or daily activity like bending or lifting something light)
• [ ] (2) Family history of osteoporosis
• [ ] (3) Parent with a hip fracture
• [ ] (4) Frequent falls in the past year
• [ ] (5) Age 65 years or older
• [ ] (6) For men: low testosterone
• [ ] (7) For men: history of prostate cancer treatment
• [ ] (8) Menopause before age 45
• [ ] (9) Surgical menopause (e.g., hysterectomy)
• [ ] (10) Menopause, not on hormone therapy
• [ ] (11) Absent menstrual periods for over 12 months before age 45

Medical Conditions

• [ ] (12) Type 1 diabetes
• [ ] (13) Type 2 diabetes
• [ ] (14) Rheumatoid arthritis
• [ ] (15) Chronic kidney disease
• [ ] (16) Chronic liver disease
• [ ] (17) Inflammatory bowel disease (Crohn’s disease or ulcerative colitis)