Take the Joint Juice® Joint Health Assessment.

Answer a few simple questions, in five minutes or less, to find out how your joints are doing.

Skipping may be good for your joints, but not for this test. Complete this section before moving on.

What year were you born?




What's your gender?


Male Female


What's your weight?

lbs.


What's your height?

FeetInches


Take the Joint Juice® Joint Health Assessment.

Answer a few simple questions, in five minutes or less, to find out whether your joints are acting their age.

Skipping may be good for your joints, but not for this test. Complete this section before moving on.

In a typical day, how many servings of fruits and vegetables do you eat?

1 serving of vegetables = 1 cup of broccoli
1 serving of fruit = 1 medium apple



In a typical day, how many full 8 ounce glasses of water do you drink?

1 glass = 8 ounces


Do you take vitamins or supplements on a regular basis?


Daily Multivitamin
Glucosamine
Chondroitin
Omega-3 Fatty Acids
Vitamin D
 Vitamin K
Vitamin C
Vitamin E
Calcium
I do not take any vitamins or supplements


Take the Joint Juice® Joint Health Assessment.

Answer a few simple questions, in five minutes or less, to find out whether your joints are acting their age.

Skipping may be good for your joints, but not for this test. Complete this section before moving on.

In a typical week, how many days do you exercise?


What's your main type of exercise?


Aerobics/exercise classes
Walking
Biking
StairMaster™ or elliptical
Golf
Yoga
Swimming
 Hiking
Running/jogging
Weight lifting
Basketball, soccer or baseball
Other
I do not exercise

When you exercise, do you feel any joint discomfort?

1 = no pain and 10 = extreme pain.


Take the Joint Juice® Joint Health Assessment.

Answer a few simple questions, in five minutes or less, to find out whether your joints are acting their age.

Skipping may be good for your joints, but not for this test. Complete this section before moving on.

Do you have a family history of healthy, flexible joints?


Yes, I have a family history of healthy, flexible joints
No, I don't have a family history of healthy, flexible joints
I don't know

Have you ever had a major injury or surgery to your joints?


Yes
No

Take the Joint Juice® Joint Health Assessment.

Answer a few simple questions, in five minutes or less, to find out whether your joints are acting their age.

Skipping may be good for your joints, but not for this test. Complete this section before moving on.

How many push-ups (either regular: from the toes, or modified: from the knees) can you complete?

0
1-10
11-20
more than 20

When bending at the waist to touch your toes, how far can you reach?

Fingers touching knees
Fingers touching shins
Fingers touching ankles
Fingers touching toes
Hands flat on the floor

When you walk down a short flight of stairs, how do yourjoints feel?

1 (no discomfort) to 10 (extreme discomfort)