Personal Information

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Survey

Do you have a small, thin frame or are you Caucasian or Asian?

Yes No

Has a female member of your immediate family broken a bone as an adult?

Yes No

Are you a postmenopausal woman?

Yes No

Have you had an early or surgically induced menopause?

Yes No

Have you been taking high doses of thyroid medication or high or prolonged doses of cortisone-like drugs for asthma, arthritis or other diseases?

Yes No

Is your diet low in dairy products and other sources of calcium?

Yes No

Are you physically inactive?

Yes No

Do you smoke cigarettes or drink alcohol in excess?

Yes No