About you - we use this information to remind you to do your bowel test
Find out your level of risk and recommendations next.
First Name
*
Last Name
*
Email
*
example@example.com
Mobile Phone Number
We will only use your phone number to send you screening and check up reminders.
Postcode
*
Gender assigned at birth
*
Male
Female
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It takes less than 1 minute, and could save your life!
Have you completed a Bowel Cancer Screening Test within the last 24 months?
*
Yes
No, it's been longer than 24 months
I've never done one
Are you experiencing any of the below symptoms OR had a positive result from a past screening?
*
A positive result from a past bowel screen test
Passage of blood with or without mucus in faeces
Unexplained iron deficiency anaemia
Change in bowel habit (loose stools or constipation), especially a recent one
Undiagnosed abdominal pain or tenerness
Unexplained rectal or abdominal mass
Unexplained weight loss
Unexplained lethargy
*
Yes
No
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Risk Factors
Date of Birth
*
-
Day
-
Month
Year
Todays date
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Day
-
Month
Year
Date
Age
Family history
Having family members diagnosed with Bowel Cancer can increase your risk.
Have any of your first-degree relatives had colorectal cancer?
*
Yes
No
How many of your first degree relatives were diagnosed under the age of 55?
0
1
2 or more
How many of your first degree relatives were diagnosed at or older than the age of 55?
0
1
2
3 or more
How many of your first degree relatives were diagnosed at or older than the age of 55?
0
1
2 or more
How many of your first degree relatives were diagnosed at or older than the age of 55?
0
1 or more
Have any of your second-degree relatives had colorectal cancer?
*
Yes
No
How many of your second degree relatives were diagnosed under the age of 55?
0
1
2 or more
How many of your second degree relatives were diagnosed at or older than the age of 55?
0
1
2
3
4 or more
How many of your second degree relatives were diagnosed at or older than the age of 55?
0
1
2 or more
How many of your second degree relatives were diagnosed at or older than the age of 55?
0
1 or more
Are you a member of a family in which a gene mutation that confers a high risk of bowel cancer has been identified?
Yes
No
Identified Category
Category 1: 0, 100, 200, 1000, 10, 110 Category 2: 300, 400, 1100, 2000, 210, 310, 1010, 20, 120, 1, 101, 1001, 11 Category 3: 1200, 2100, 410, 1110, 1210, 2010, 2110, 220, 320, 420, 1020, 1120, 1220, 2020, 2120, 30, 130, 230, 330, 430, 1030, 1130, 1230, 2030, 2130, 201, 301, 401, 1101, 1201, 2001, 2101, 111, 211, 311, 411, 1011, 1111, 1211, 2011, 2111, 21, 121, 221, 321, 421, 1021, 1121, 1221, 2021, 2121, 2, 102, 202, 302, 402, 1002, 1102, 1202, 2002, 2102, 12, 112, 212, 312, 412, 1012, 1112, 1212, 2012, 2112, 10000 -19000 Investigation Required(Middleware): 50000 - 500000 Investigation Required(No Reminder): 600000, 1300000 Completed a FOBT within 24 months(No Reminder) +700000
Category
Cat 3 - Recommendations
Cat 3- Recommendations Age in range 35-44
Cat 3- Recommendations Age in range 45-74
Cat 2 - Recommendations
Cat 1 - Recommendations
Cat 4 - Recommendations
Investigation required
recommendationUuid
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