Madam,I read the recent publication on alternative risk assessment tools for osteoporosis with a great interest.[1] Sharma and Khandelwal concluded that “With the help of such scoring systems, health resources can be judiciously utilized.”[1] The new self-administered osteoporosis risk score seems to be a good new tool for resource-limited setting. However, some issues should be addressed. First, the basic required information on any questionnaire type tool is the reliability. This has to be clearly presented. Second, the problem of long and many questions in scoring system should be considered since this can be a problem that is not user friendly and further not accepted by general practitioners who are the main users of the new tools.[2]Madam,We would like to thank Professor Viroj Wiwanitkit for going through and analyzing our risk assessment tool for osteoporosis. He has raised concern regarding the reliability of the questionnaire type tool for this purpose. We enrolled the patients since 1999 and got the questionnaires of each subject completed on two different occasions at the interval of 15–30 days. Overall assessments of reproducibility for each subject were calculated using interclass correlation coefficient and concordance correlation coefficient. Second, for the ease of filling up of proforma the questions can be translated in local language to make them user friendly as we translated them in Hindi. We are still collecting data using this tool and the proforma is well accepted to local community. It is practically simple to fill the questionnaire with the help of attending staff for illiterate persons also. We hope that with such adjustments this can be proved an excellent tool.We acknowledge the management and staff of Mahatma Gandhi Medical College and Hospital for their assistance.