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    Your Name

    Your Email

    Age

    Date of Birth

    Sex

    Weight (KG)

    Height (CM)

    Do you have a bent back?

    Previous Fracture

    Parent Fractured Hip

    Current Smoking

    Glucocorticoids

    Rheumatoid arthritis

    Secondary osteoporosis

    Alcohol 3 or more units/day

    Femoral neck BMD (g/cm2)