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  Discover your bone health and take action.
  
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Take the one-minute Bone Health test now.

Find Out About Your Bone Health

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Osteoporosis: Are You at Risk?

Osteoporosis, known as the “silent thief,” can cause bones to deteriorate over a number of years without any signs or symptoms, until a bone breaks. Unfortunately, by the time this happens, the disease is already fairly advanced.

Complete the bone health quiz to find out what your risk might be.

Bone Health Questionnaire

"*" indicates required fields

Name*

Email for quiz result*

1. Please indicate your sex*

Male

Female

2. How old are you?*

<25

26-35

36-39

40-49

50-65

65+

3. How much calcium do you consume each day?*

For example, one cup of milk or fortified alternative beverage contains 300 mg calcium.

Less than 1000 mg

More than 1000 mg

Not sure

4. Do you take a vitamin D supplement?*

Yes, I take between 400 – 1000 IU of Vitamin D daily

Yes, I take between 1000 – 2000 IU of Vitamin D daily

Yes, I take more than 2000 IU of Vitamin D daily

I do not take a vitamin D supplement

5. Are you physically active with moderate to vigorous activity for at least a total of 2 1/2 hours per week?*

Yes

No

6. How many alcoholic drinks do you consume each day (including weekends) on average?*

0-1

2-5

6-10

10+

7. Do you currently smoke cigarettes?*

Yes

No

8. Have you lost 2 cm (3/4”) or more in height as measured by your healthcare provider, or 6 cm (2 ½”) or more overall from when you were a young adult?*

Yes

No

Not sure

9. Has your mother, father, or a first-degree relative been diagnosed with osteoporosis?*

Yes

No

Not sure

10. Have either your mother or father had a hip fracture?*

Yes

No

Not sure

11. Have you broken a bone from a simple fall or bump since age 40?* (for example, a fall from tripping over uneven ground)*

Yes

No

12. Have you ever been treated with any of the following medications? Please select all that apply.

Long-term use of certain medications associated with bone loss and osteoporotic fractures:

Steroids (e.g. prednisone)

Aromatase inhibitors (drugs that reduce estrogen, for example in treatment of breast cancer)

Androgen deprivation therapy (drugs that reduce testosterone, for example in treatment of prostate cancer)

Some anti-convulsant medications

Depo-Provera

Proton pump inhibitors

Some antidepressants

Thiazolidinediones

None

Other

13. Do you have any of the following conditions? Please select all that apply.

Rheumatoid Arthritis

Crohn’s Disease

Ulcerative Colitis

Celiac Disease

Weight Loss Surgery

Primary Hyperparathyroidism

Chronic Kidney Disease

Chronic Liver Disease

Type 1 Diabetes

Chronic Obstructive Pulmonary Disease (COPD)

Untreated Hyperthyroidism

Neurological Disorders

None

Other

Please specify

14. Have you had one or more falls in the last year or do you have any concerns with your balance?*

Yes

No

15. Have your periods ever stopped for several months or longer?

(Other than for pregnancy or due to menopause, or due to polycystic ovarian syndrome)

Yes

No

16. At what age did you begin menopause?

(naturally, or as a result of surgery or other causes such as medications)

At 44 or younger

At 45 or older

Have not reached menopause

Would you like us to contact you about scheduling a consultation?*

No thanks

Yes please

Phone*

Comments

This field is for validation purposes and should be left unchanged.

Jack Nathan Health Medical Centre in Walmart
1555 Banks Rd, Kelowna, BC
V1X 7Y8

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