Breast Cancer Risk Calculator
Proudly brought to you by Melbourne Comprehensive Breast Care
What is your current age?
*
What is your current height?
What is your current weight?
Enter age at your first menstrual period
Have you given birth to one or more children?
Yes
No
Enter age at your first child birth
Select your stage of menopause
*
Premenopausal - Regularly occurring menstrual cycles
Perimenopausal - Irregular cycles and early menopause symptoms with less than 12 months since the last menstrual period
Postmenopausal - No menstrual period for 12+ months, marking the end of reproductive years
I don’t know
Enter your age at menopause
Have you ever used Hormone Replacement Therapy? (Note: HRT includes oestrogen-only or combined oestrogen and progesterone but does not include hormonal birth control.)
Never
Previous user (more than 5 years ago)
Previous user (less than 5 years ago)
Current user
What type of HRT did/do you use?
Oestrogen only
Combined
Tibolone (Livial or Xyvion)
Unknown
How many years have you used HRT?
How many more years do you intend to use HRT in future?
How many years has been since you last used HRT?
Have you had a breast biopsy?
*
No prior biopsy or non-proliferative disease on biopsy (including fibrocystic changes, fibroadenoma, hamartoma)
Prior biopsy, results unknown
Hyperplasia without atypia (including papilloma, sclerosing adenosis, usual ductal hyperplasia, radial scar)
Atypical hyperplasia
Lobular Carcinoma in Situ (LCIS)
Both Atypical hyperplasia and LCIS
Have you had ovarian cancer?
Yes
No
Enter age at diagnosis
Do you have Ashkenazi Jewish ancestry?
Yes
No
Do you have a mutation in either the BRCA1 or BRCA2 gene?
Not tested
Negative
BRCA1
BRCA2
Select your mammographic Breast Density (If you are unsure about which breast density category you fall under, this information should be displayed on your last mammography report. If you have not had a mammogram in the past, or are unsure about which breast density category you fall under, select the "I don't know" option below.)
*
A - Almost entirely fatty
B - Scattered fibroglandular density
C - Heterogeneously dense
D - Extremely dense
I don’t know
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Family History:
Family history is an important factor in determining risk, especially if there is a history of breast or ovarian cancer in woman’s family.
Mother
Your mother’s current age or age at death
Has your mother had breast cancer?
Yes
No
I don’t know
Enter age at diagnosis
Was your mother's breast cancer in both breasts?
Yes
No
I don’t know
Your mother's age when cancer was detected in her second breast
Has your mother had ovarian cancer?
Yes
No
I don’t know
Enter age at diagnosis
Has your mother had BRCA genetic testing?
Not tested
Negative
BRCA1
BRCA2
Father
Has your father had breast cancer?
Yes
No
Has your father had BRCA genetic testing?
Not tested
Negative
BRCA1
BRCA2
Other 1st Degree Relatives
Which other 1st degree relatives (≥ 18 years) do you have ? You can select multiple relatives.
Sister
Daughter
Brother
Number of sisters
*
Number of daughters
*
Sister 1
Current age or age at death
Has your sister had breast cancer?
Yes
No
I don’t know
Enter age at diagnosis
Was your sister's breast cancer in both breasts?
Yes
No
I don’t know
Your sister's age when cancer was detected in her second breast
Has your sister had ovarian cancer?
Yes
No
I don’t know
Enter age at diagnosis
Has your sister had BRCA genetic testing?
Not tested
Negative
BRCA1
BRCA2
Does this sister have a daughter with a history of breast or ovarian cancer?
Yes
No
I don’t know
Enter the total number of daughters (≥18 years) this sister has
*
Sister 1 – Niece 1
Current age or age at death
Has this niece had breast cancer?
Yes
No
I don’t know
Enter age at diagnosis
Was your niece's breast cancer in both breasts?
Yes
No
I don’t know
Your niece's age when cancer was detected in her second breast
Has your niece had ovarian cancer?
Yes
No
I don’t know
Enter age at diagnosis
Has your niece had BRCA genetic testing?
Not tested
Negative
BRCA1
BRCA2
Sister 1 – Niece 2
Current age or age at death
Has this niece had breast cancer?
Yes
No
I don’t know
Enter age at diagnosis
Was your niece's breast cancer in both breasts?
Yes
No
I don’t know
Your niece's age when cancer was detected in her second breast
Has your niece had ovarian cancer?
Yes
No
I don’t know
Enter age at diagnosis
Has your niece had BRCA genetic testing?
Not tested
Negative
BRCA1
BRCA2
Sister 1 – Niece 3
Current age or age at death
Has this niece had breast cancer?
Yes
No
I don’t know
Enter age at diagnosis
Was your niece's breast cancer in both breasts?
Yes
No
I don’t know
Your niece's age when cancer was detected in her second breast
Has your niece had ovarian cancer?
Yes
No
I don’t know
Enter age at diagnosis
Has your niece had BRCA genetic testing?
Not tested
Negative
BRCA1
BRCA2
Sister 2
Current age or age at death
Has your sister had breast cancer?
Yes
No
I don’t know
Enter age at diagnosis
Was your sister's breast cancer in both breasts?
Yes
No
I don’t know
Your sister's age when cancer was detected in her second breast
Has your sister had ovarian cancer?
Yes
No
I don’t know
Enter age at diagnosis
Has your sister had BRCA genetic testing?
Not tested
Negative
BRCA1
BRCA2
Does this sister have a daughter with a history of breast or ovarian cancer?
Yes
No
I don’t know
Enter the total number of daughters (≥18 years) this sister has
*
Sister 2 – Niece 1
Current age or age at death
Has this niece had breast cancer?
Yes
No
I don’t know
Enter age at diagnosis
Was your niece's breast cancer in both breasts?
Yes
No
I don’t know
Your niece's age when cancer was detected in her second breast
Has your niece had ovarian cancer?
Yes
No
I don’t know
Enter age at diagnosis
Has your niece had BRCA genetic testing?
Not tested
Negative
BRCA1
BRCA2
Sister 2 – Niece 2
Current age or age at death
Has this niece had breast cancer?
Yes
No
I don’t know
Enter age at diagnosis
Was your niece's breast cancer in both breasts?
Yes
No
I don’t know
Your niece's age when cancer was detected in her second breast
Has your niece had ovarian cancer?
Yes
No
I don’t know
Enter age at diagnosis
Has your niece had BRCA genetic testing?
Not tested
Negative
BRCA1
BRCA2
Sister 2 – Niece 3
Current age or age at death
Has this niece had breast cancer?
Yes
No
I don’t know
Enter age at diagnosis
Was your niece's breast cancer in both breasts?
Yes
No
I don’t know
Your niece's age when cancer was detected in her second breast
Has your niece had ovarian cancer?
Yes
No
I don’t know
Enter age at diagnosis
Has your niece had BRCA genetic testing?
Not tested
Negative
BRCA1
BRCA2
Sister 3
Current age or age at death
Has your sister had breast cancer?
Yes
No
I don’t know
Enter age at diagnosis
Was your sister's breast cancer in both breasts?
Yes
No
I don’t know
Your sister's age when cancer was detected in her second breast
Has your sister had ovarian cancer?
Yes
No
I don’t know
Enter age at diagnosis
Has your sister had BRCA genetic testing?
Not tested
Negative
BRCA1
BRCA2
Does this sister have a daughter with a history of breast or ovarian cancer?
Yes
No
I don’t know
Enter the total number of daughters (≥18 years) this sister has
*
Sister 3 – Niece 1
Current age or age at death
Has this niece had breast cancer?
Yes
No
I don’t know
Enter age at diagnosis
Was your niece's breast cancer in both breasts?
Yes
No
I don’t know
Your niece's age when cancer was detected in her second breast
Has your niece had ovarian cancer?
Yes
No
I don’t know
Enter age at diagnosis
Has your niece had BRCA genetic testing?
Not tested
Negative
BRCA1
BRCA2
Sister 3 – Niece 2
Current age or age at death
Has this niece had breast cancer?
Yes
No
I don’t know
Enter age at diagnosis
Was your niece's breast cancer in both breasts?
Yes
No
I don’t know
Your niece's age when cancer was detected in her second breast
Has your niece had ovarian cancer?
Yes
No
I don’t know
Enter age at diagnosis
Has your niece had BRCA genetic testing?
Not tested
Negative
BRCA1
BRCA2
Sister 3 – Niece 3
Current age or age at death
Has this niece had breast cancer?
Yes
No
I don’t know
Enter age at diagnosis
Was your niece's breast cancer in both breasts?
Yes
No
I don’t know
Your niece's age when cancer was detected in her second breast
Has your niece had ovarian cancer?
Yes
No
I don’t know
Enter age at diagnosis
Has your niece had BRCA genetic testing?
Not tested
Negative
BRCA1
BRCA2
Sister 4
Current age or age at death
Has your sister had breast cancer?
Yes
No
I don’t know
Enter age at diagnosis
Was your sister's breast cancer in both breasts?
Yes
No
I don’t know
Your sister's age when cancer was detected in her second breast
Has your sister had ovarian cancer?
Yes
No
I don’t know
Enter age at diagnosis
Has your sister had BRCA genetic testing?
Not tested
Negative
BRCA1
BRCA2
Does this sister have a daughter with a history of breast or ovarian cancer?
Yes
No
I don’t know
Enter the total number of daughters (≥18 years) this sister has
*
Sister 4 – Niece 1
Current age or age at death
Has this niece had breast cancer?
Yes
No
I don’t know
Enter age at diagnosis
Was your niece's breast cancer in both breasts?
Yes
No
I don’t know
Your niece's age when cancer was detected in her second breast
Has your niece had ovarian cancer?
Yes
No
I don’t know
Enter age at diagnosis
Has your niece had BRCA genetic testing?
Not tested
Negative
BRCA1
BRCA2
Sister 4 – Niece 2
Current age or age at death
Has this niece had breast cancer?
Yes
No
I don’t know
Enter age at diagnosis
Was your niece's breast cancer in both breasts?
Yes
No
I don’t know
Your niece's age when cancer was detected in her second breast
Has your niece had ovarian cancer?
Yes
No
I don’t know
Enter age at diagnosis
Has your niece had BRCA genetic testing?
Not tested
Negative
BRCA1
BRCA2
Sister 4 – Niece 3
Current age or age at death
Has this niece had breast cancer?
Yes
No
I don’t know
Enter age at diagnosis
Was your niece's breast cancer in both breasts?
Yes
No
I don’t know
Your niece's age when cancer was detected in her second breast
Has your niece had ovarian cancer?
Yes
No
I don’t know
Enter age at diagnosis
Has your niece had BRCA genetic testing?
Not tested
Negative
BRCA1
BRCA2
Sister 5
Current age or age at death
Has your sister had breast cancer?
Yes
No
I don’t know
Enter age at diagnosis
Was your sister's breast cancer in both breasts?
Yes
No
I don’t know
Your sister's age when cancer was detected in her second breast
Has your sister had ovarian cancer?
Yes
No
I don’t know
Enter age at diagnosis
Has your sister had BRCA genetic testing?
Not tested
Negative
BRCA1
BRCA2
Does this sister have a daughter with a history of breast or ovarian cancer?
Yes
No
I don’t know
Enter the total number of daughters (≥18 years) this sister has
*
Sister 5 – Niece 1
Current age or age at death
Has this niece had breast cancer?
Yes
No
I don’t know
Enter age at diagnosis
Was your niece's breast cancer in both breasts?
Yes
No
I don’t know
Your niece's age when cancer was detected in her second breast
Has your niece had ovarian cancer?
Yes
No
I don’t know
Enter age at diagnosis
Has your niece had BRCA genetic testing?
Not tested
Negative
BRCA1
BRCA2
Sister 5 – Niece 2
Current age or age at death
Has this niece had breast cancer?
Yes
No
I don’t know
Enter age at diagnosis
Was your niece's breast cancer in both breasts?
Yes
No
I don’t know
Your niece's age when cancer was detected in her second breast
Has your niece had ovarian cancer?
Yes
No
I don’t know
Enter age at diagnosis
Has your niece had BRCA genetic testing?
Not tested
Negative
BRCA1
BRCA2
Sister 5 – Niece 3
Current age or age at death
Has this niece had breast cancer?
Yes
No
I don’t know
Enter age at diagnosis
Was your niece's breast cancer in both breasts?
Yes
No
I don’t know
Your niece's age when cancer was detected in her second breast
Has your niece had ovarian cancer?
Yes
No
I don’t know
Enter age at diagnosis
Has your niece had BRCA genetic testing?
Not tested
Negative
BRCA1
BRCA2
Daughter 1
Current age or age at death
Has your daughter had breast cancer?
Yes
No
I don’t know
Enter age at diagnosis
Was your daughter’s breast cancer in both breasts?
Yes
No
I don’t know
Your daughter’s age when cancer was detected in her second breast
Has your daughter had ovarian cancer?
Yes
No
I don’t know
Enter age at diagnosis
Has your daughter had BRCA genetic testing?
Not tested
Negative
BRCA1
BRCA2
Daughter 2
Current age or age at death
Has your daughter had breast cancer?
Yes
No
I don’t know
Enter age at diagnosis
Was your daughter’s breast cancer in both breasts?
Yes
No
I don’t know
Your daughter’s age when cancer was detected in her second breast
Has your daughter had ovarian cancer?
Yes
No
I don’t know
Enter age at diagnosis
Has your daughter had BRCA genetic testing?
Not tested
Negative
BRCA1
BRCA2
Daughter 3
Current age or age at death
Has your daughter had breast cancer?
Yes
No
I don’t know
Enter age at diagnosis
Was your daughter’s breast cancer in both breasts?
Yes
No
I don’t know
Your daughter’s age when cancer was detected in her second breast
Has your daughter had ovarian cancer?
Yes
No
I don’t know
Enter age at diagnosis
Has your daughter had BRCA genetic testing?
Not tested
Negative
BRCA1
BRCA2
Daughter 4
Current age or age at death
Has your daughter had breast cancer?
Yes
No
I don’t know
Enter age at diagnosis
Was your daughter’s breast cancer in both breasts?
Yes
No
I don’t know
Your daughter’s age when cancer was detected in her second breast
Has your daughter had ovarian cancer?
Yes
No
I don’t know
Enter age at diagnosis
Has your daughter had BRCA genetic testing?
Not tested
Negative
BRCA1
BRCA2
Daughter 5
Current age or age at death
Has your daughter had breast cancer?
Yes
No
I don’t know
Enter age at diagnosis
Was your daughter’s breast cancer in both breasts?
Yes
No
I don’t know
Your daughter’s age when cancer was detected in her second breast
Has your daughter had ovarian cancer?
Yes
No
I don’t know
Enter age at diagnosis
Has your daughter had BRCA genetic testing?
Not tested
Negative
BRCA1
BRCA2
Brother(s)
Do you have a brother that has had breast cancer?
Yes
No
Do any of your brothers have a daughter with a history of breast or ovarian cancer?
Yes
No
I don’t know
Enter the total number of brothers’ daughters (≥18 years, counting all brothers)
*
Niece 1 from Brother(s)
Current age or age at death
Has this niece had breast cancer?
Yes
No
I don’t know
Enter age at diagnosis
Was your niece's breast cancer in both breasts?
Yes
No
I don’t know
Your niece's age when cancer was detected in her second breast
Has your niece had ovarian cancer?
Yes
No
I don’t know
Enter age at diagnosis
Has your niece had BRCA genetic testing?
Not tested
Negative
BRCA1
BRCA2
Niece 2 from Brother(s)
Current age or age at death
Has this niece had breast cancer?
Yes
No
I don’t know
Enter age at diagnosis
Was your niece's breast cancer in both breasts?
Yes
No
I don’t know
Your niece's age when cancer was detected in her second breast
Has your niece had ovarian cancer?
Yes
No
I don’t know
Enter age at diagnosis
Has your niece had BRCA genetic testing?
Not tested
Negative
BRCA1
BRCA2
Niece 3 from Brother(s)
Current age or age at death
Has this niece had breast cancer?
Yes
No
I don’t know
Enter age at diagnosis
Was your niece's breast cancer in both breasts?
Yes
No
I don’t know
Your niece's age when cancer was detected in her second breast
Has your niece had ovarian cancer?
Yes
No
I don’t know
Enter age at diagnosis
Has your niece had BRCA genetic testing?
Not tested
Negative
BRCA1
BRCA2
Niece 4 from Brother(s)
Current age or age at death
Has this niece had breast cancer?
Yes
No
I don’t know
Enter age at diagnosis
Was your niece's breast cancer in both breasts?
Yes
No
I don’t know
Your niece's age when cancer was detected in her second breast
Has your niece had ovarian cancer?
Yes
No
I don’t know
Enter age at diagnosis
Has your niece had BRCA genetic testing?
Not tested
Negative
BRCA1
BRCA2
Niece 5 from Brother(s)
Current age or age at death
Has this niece had breast cancer?
Yes
No
I don’t know
Enter age at diagnosis
Was your niece's breast cancer in both breasts?
Yes
No
I don’t know
Your niece's age when cancer was detected in her second breast
Has your niece had ovarian cancer?
Yes
No
I don’t know
Enter age at diagnosis
Has your niece had BRCA genetic testing?
Not tested
Negative
BRCA1
BRCA2
Niece 6 from Brother(s)
Current age or age at death
Has this niece had breast cancer?
Yes
No
I don’t know
Enter age at diagnosis
Was your niece's breast cancer in both breasts?
Yes
No
I don’t know
Your niece's age when cancer was detected in her second breast
Has your niece had ovarian cancer?
Yes
No
I don’t know
Enter age at diagnosis
Has your niece had BRCA genetic testing?
Not tested
Negative
BRCA1
BRCA2
Niece 7 from Brother(s)
Current age or age at death
Has this niece had breast cancer?
Yes
No
I don’t know
Enter age at diagnosis
Was your niece's breast cancer in both breasts?
Yes
No
I don’t know
Your niece's age when cancer was detected in her second breast
Has your niece had ovarian cancer?
Yes
No
I don’t know
Enter age at diagnosis
Has your niece had BRCA genetic testing?
Not tested
Negative
BRCA1
BRCA2
Niece 8 from Brother(s)
Current age or age at death
Has this niece had breast cancer?
Yes
No
I don’t know
Enter age at diagnosis
Was your niece's breast cancer in both breasts?
Yes
No
I don’t know
Your niece's age when cancer was detected in her second breast
Has your niece had ovarian cancer?
Yes
No
I don’t know
Enter age at diagnosis
Has your niece had BRCA genetic testing?
Not tested
Negative
BRCA1
BRCA2
Back
Next
Save
Paternal Grandmother
Current age or age at death
Has your paternal grandmother had breast cancer?
Yes
No
I don’t know
Enter age at diagnosis
Was your paternal grandmother's breast cancer in both breasts?
Yes
No
I don’t know
Your paternal grandmother’s age when cancer was detected in her second breast
Has your paternal grandmother had ovarian cancer?
Yes
No
I don’t know
Enter age at diagnosis
Has your paternal grandmother had BRCA genetic testing?
Not tested
Negative
BRCA1
BRCA2
Other Paternal Relatives
Which other paternal relatives (≥ 18 years) do you have ? You can select multiple relatives.
Aunt
Half-sister
Uncle’s daughter (only select this option if there is a history of breast or ovarian caner in any of your paternal uncles’ daughters)
Number of paternal aunts
*
Number of paternal half-sisters
*
Number of paternal uncles' daughters
*
Paternal Aunt 1
Current age or age at death
Has your paternal aunt had breast cancer?
Yes
No
I don’t know
Enter age at diagnosis
Was your paternal aunt's breast cancer in both breasts?
Yes
No
I don’t know
Your paternal aunt’s age when cancer was detected in her second breast
Has your paternal aunt had ovarian cancer?
Yes
No
I don’t know
Enter age at diagnosis
Has your paternal aunt had BRCA genetic testing?
Not tested
Negative
BRCA1
BRCA2
Does this aunt have a daughter with a history of breast or ovarian cancer?
Yes
No
I don’t know
Enter the total number of daughters (≥18 years) that this aunt has:
Paternal Aunt 1 - Daughter 1
Current age or age at death
Has this cousin had breast cancer?
Yes
No
I don’t know
Enter age at diagnosis
Was this cousin’s breast cancer in both breasts?
Yes
No
I don’t know
Your cousin's age when cancer was detected in her second breast
Has your cousin had ovarian cancer?
Yes
No
I don’t know
Enter age at diagnosis
Has your cousin had BRCA genetic testing?
Not tested
Negative
BRCA1
BRCA2
Paternal Aunt 1 - Daughter 2
Current age or age at death
Has this cousin had breast cancer?
Yes
No
I don’t know
Enter age at diagnosis
Was this cousin’s breast cancer in both breasts?
Yes
No
I don’t know
Your cousin's age when cancer was detected in her second breast
Has your cousin had ovarian cancer?
Yes
No
I don’t know
Enter age at diagnosis
Has your cousin had BRCA genetic testing?
Not tested
Negative
BRCA1
BRCA2
Paternal Aunt 1 - Daughter 3
Current age or age at death
Has this cousin had breast cancer?
Yes
No
I don’t know
Enter age at diagnosis
Was this cousin’s breast cancer in both breasts?
Yes
No
I don’t know
Your cousin's age when cancer was detected in her second breast
Has your cousin had ovarian cancer?
Yes
No
I don’t know
Enter age at diagnosis
Has your cousin had BRCA genetic testing?
Not tested
Negative
BRCA1
BRCA2
Paternal Aunt 2
Current age or age at death
Has your paternal aunt had breast cancer?
Yes
No
I don’t know
Enter age at diagnosis
Was your paternal aunt's breast cancer in both breasts?
Yes
No
I don’t know
Your paternal aunt’s age when cancer was detected in her second breast
Has your paternal aunt had ovarian cancer?
Yes
No
I don’t know
Enter age at diagnosis
Has your paternal aunt had BRCA genetic testing?
Not tested
Negative
BRCA1
BRCA2
Does this aunt have a daughter with a history of breast or ovarian cancer?
Yes
No
I don’t know
Enter the total number of daughters (≥18 years) this aunt has:
Paternal Aunt 2 - Daughter 1
Current age or age at death
Has this cousin had breast cancer?
Yes
No
I don’t know
Enter age at diagnosis
Was this cousin’s breast cancer in both breasts?
Yes
No
I don’t know
Your cousin's age when cancer was detected in her second breast
Has your cousin had ovarian cancer?
Yes
No
I don’t know
Enter age at diagnosis
Has your cousin had BRCA genetic testing?
Not tested
Negative
BRCA1
BRCA2
Paternal Aunt 2 - Daughter 2
Current age or age at death
Has this cousin had breast cancer?
Yes
No
I don’t know
Enter age at diagnosis
Was this cousin’s breast cancer in both breasts?
Yes
No
I don’t know
Your cousin's age when cancer was detected in her second breast
Has your cousin had ovarian cancer?
Yes
No
I don’t know
Enter age at diagnosis
Has your cousin had BRCA genetic testing?
Not tested
Negative
BRCA1
BRCA2
Paternal Aunt 2 - Daughter 3
Current age or age at death
Has this cousin had breast cancer?
Yes
No
I don’t know
Enter age at diagnosis
Was this cousin’s breast cancer in both breasts?
Yes
No
I don’t know
Your cousin's age when cancer was detected in her second breast
Has your cousin had ovarian cancer?
Yes
No
I don’t know
Enter age at diagnosis
Has your cousin had BRCA genetic testing?
Not tested
Negative
BRCA1
BRCA2
Paternal Aunt 3
Current age or age at death
Has your paternal aunt had breast cancer?
Yes
No
I don’t know
Enter age at diagnosis
Was your paternal aunt's breast cancer in both breasts?
Yes
No
I don’t know
Your paternal aunt’s age when cancer was detected in her second breast
Has your paternal aunt had ovarian cancer?
Yes
No
I don’t know
Enter age at diagnosis
Has your paternal aunt had BRCA genetic testing?
Not tested
Negative
BRCA1
BRCA2
Does this aunt have a daughter with a history of breast or ovarian cancer?
Yes
No
I don’t know
Enter the total number of daughters (≥18 years) this aunt has
Paternal Aunt 3 - Daughter 1
Current age or age at death
Has this cousin had breast cancer?
Yes
No
I don’t know
Enter age at diagnosis
Was this cousin’s breast cancer in both breasts?
Yes
No
I don’t know
Your cousin's age when cancer was detected in her second breast
Has your cousin had ovarian cancer?
Yes
No
I don’t know
Enter age at diagnosis
Has your cousin had BRCA genetic testing?
Not tested
Negative
BRCA1
BRCA2
Paternal Aunt 3 - Daughter 2
Current age or age at death
Has this cousin had breast cancer?
Yes
No
I don’t know
Enter age at diagnosis
Was this cousin’s breast cancer in both breasts?
Yes
No
I don’t know
Your cousin's age when cancer was detected in her second breast
Has your cousin had ovarian cancer?
Yes
No
I don’t know
Enter age at diagnosis
Has your cousin had BRCA genetic testing?
Not tested
Negative
BRCA1
BRCA2
Paternal Aunt 3 - Daughter 3
Current age or age at death
Has this cousin had breast cancer?
Yes
No
I don’t know
Enter age at diagnosis
Was this cousin’s breast cancer in both breasts?
Yes
No
I don’t know
Your cousin's age when cancer was detected in her second breast
Has your cousin had ovarian cancer?
Yes
No
I don’t know
Enter age at diagnosis
Has your cousin had BRCA genetic testing?
Not tested
Negative
BRCA1
BRCA2
Paternal Aunt 4
Current age or age at death
Has your paternal aunt had breast cancer?
Yes
No
I don’t know
Enter age at diagnosis
Was your paternal aunt's breast cancer in both breasts?
Yes
No
I don’t know
Your paternal aunt’s age when cancer was detected in her second breast
Has your paternal aunt had ovarian cancer?
Yes
No
I don’t know
Enter age at diagnosis
Has your paternal aunt had BRCA genetic testing?
Not tested
Negative
BRCA1
BRCA2
Does this aunt have a daughter with a history of breast or ovarian cancer?
Yes
No
I don’t know
Enter the total number of daughters (≥18 years) this aunt has
Paternal Aunt 4 - Daughter 1
Current age or age at death
Has this cousin had breast cancer?
Yes
No
I don’t know
Enter age at diagnosis
Was this cousin’s breast cancer in both breasts?
Yes
No
I don’t know
Your cousin's age when cancer was detected in her second breast
Has your cousin had ovarian cancer?
Yes
No
I don’t know
Enter age at diagnosis
Has your cousin had BRCA genetic testing?
Not tested
Negative
BRCA1
BRCA2
Paternal Aunt 4 - Daughter 2
Current age or age at death
Has this cousin had breast cancer?
Yes
No
I don’t know
Enter age at diagnosis
Was this cousin’s breast cancer in both breasts?
Yes
No
I don’t know
Your cousin's age when cancer was detected in her second breast
Has your cousin had ovarian cancer?
Yes
No
I don’t know
Enter age at diagnosis
Has your cousin had BRCA genetic testing?
Not tested
Negative
BRCA1
BRCA2
Paternal Aunt 4 - Daughter 3
Current age or age at death
Has this cousin had breast cancer?
Yes
No
I don’t know
Enter age at diagnosis
Was this cousin’s breast cancer in both breasts?
Yes
No
I don’t know
Your cousin's age when cancer was detected in her second breast
Has your cousin had ovarian cancer?
Yes
No
I don’t know
Enter age at diagnosis
Has your cousin had BRCA genetic testing?
Not tested
Negative
BRCA1
BRCA2
Paternal Aunt 5
Current age or age at death
Has your paternal aunt had breast cancer?
Yes
No
I don’t know
Enter age at diagnosis
Was your paternal aunt's breast cancer in both breasts?
Yes
No
I don’t know
Your paternal aunt’s age when cancer was detected in her second breast
Has your paternal aunt had ovarian cancer?
Yes
No
I don’t know
Enter age at diagnosis
Has your paternal aunt had BRCA genetic testing?
Not tested
Negative
BRCA1
BRCA2
Does this aunt have a daughter with a history of breast or ovarian cancer?
Yes
No
I don’t know
Enter the total number of daughters (≥18 years) this aunt has
Paternal Aunt 5 - Daughter 1
Current age or age at death
Has this cousin had breast cancer?
Yes
No
I don’t know
Enter age at diagnosis
Was this cousin’s breast cancer in both breasts?
Yes
No
I don’t know
Your cousin's age when cancer was detected in her second breast
Has your cousin had ovarian cancer?
Yes
No
I don’t know
Enter age at diagnosis
Has your cousin had BRCA genetic testing?
Not tested
Negative
BRCA1
BRCA2
Paternal Aunt 5 - Daughter 2
Current age or age at death
Has this cousin had breast cancer?
Yes
No
I don’t know
Enter age at diagnosis
Was this cousin’s breast cancer in both breasts?
Yes
No
I don’t know
Your cousin's age when cancer was detected in her second breast
Has your cousin had ovarian cancer?
Yes
No
I don’t know
Enter age at diagnosis
Has your cousin had BRCA genetic testing?
Not tested
Negative
BRCA1
BRCA2
Paternal Aunt 5 - Daughter 3
Current age or age at death
Has this cousin had breast cancer?
Yes
No
I don’t know
Enter age at diagnosis
Was this cousin’s breast cancer in both breasts?
Yes
No
I don’t know
Your cousin's age when cancer was detected in her second breast
Has your cousin had ovarian cancer?
Yes
No
I don’t know
Enter age at diagnosis
Has your cousin had BRCA genetic testing?
Not tested
Negative
BRCA1
BRCA2
Paternal Half-Sister 1
Current age or age at death
Has your paternal half-sister had breast cancer?
Yes
No
I don’t know
Enter age at diagnosis
Was your paternal half-sister's breast cancer in both breasts?
Yes
No
I don’t know
Your paternal half-sister's age when cancer was detected in her second breast
Has your paternal half-sister had ovarian cancer?
Yes
No
I don’t know
Enter age at diagnosis
Has your paternal half-sister had BRCA genetic testing?
Not tested
Negative
BRCA1
BRCA2
Paternal Half-Sister 2
Current age or age at death
Has your paternal half-sister had breast cancer?
Yes
No
I don’t know
Enter age at diagnosis
Was your paternal half-sister's breast cancer in both breasts?
Yes
No
I don’t know
Your paternal half-sister's age when cancer was detected in her second breast
Has your paternal half-sister had ovarian cancer?
Yes
No
I don’t know
Enter age at diagnosis
Has your paternal half-sister had BRCA genetic testing?
Not tested
Negative
BRCA1
BRCA2
Paternal Half-Sister 3
Current age or age at death
Has your paternal half-sister had breast cancer?
Yes
No
I don’t know
Enter age at diagnosis
Was your paternal half-sister's breast cancer in both breasts?
Yes
No
I don’t know
Your paternal half-sister's age when cancer was detected in her second breast
Has your paternal half-sister had ovarian cancer?
Yes
No
I don’t know
Enter age at diagnosis
Has your paternal half-sister had BRCA genetic testing?
Not tested
Negative
BRCA1
BRCA2
Paternal Uncles’ Daughter 1
Current age or age at death
Has this cousin had breast cancer?
Yes
No
I don’t know
Enter age at diagnosis
Was your cousin’s breast cancer in both breasts?
Yes
No
I don’t know
Your cousin’s age when cancer was detected in her second breast
Has your cousin had ovarian cancer?
Yes
No
I don’t know
Enter age at diagnosis
Has your cousin had BRCA genetic testing?
Not tested
Negative
BRCA1
BRCA2
Paternal Uncles’ Daughter 2
Current age or age at death
Has this cousin had breast cancer?
Yes
No
I don’t know
Enter age at diagnosis
Was your cousin’s breast cancer in both breasts?
Yes
No
I don’t know
Your cousin's age when cancer was detected in her second breast
Has your cousin had ovarian cancer?
Yes
No
I don’t know
Enter age at diagnosis
Has your cousin had BRCA genetic testing?
Not tested
Negative
BRCA1
BRCA2
Paternal Uncles’ Daughter 3
Current age or age at death
Has this cousin had breast cancer?
Yes
No
I don’t know
Enter age at diagnosis
Was your cousin’s breast cancer in both breasts?
Yes
No
I don’t know
Your cousin’s age when cancer was detected in her second breast
Has your cousin had ovarian cancer?
Yes
No
I don’t know
Enter age at diagnosis
Has your cousin had BRCA genetic testing?
Not tested
Negative
BRCA1
BRCA2
Paternal Uncles’ Daughter 4
Current age or age at death
Has this cousin had breast cancer?
Yes
No
I don’t know
Enter age at diagnosis
Was your cousin’s breast cancer in both breasts?
Yes
No
I don’t know
Your cousin’s age when cancer was detected in her second breast
Has your cousin had ovarian cancer?
Yes
No
I don’t know
Enter age at diagnosis
Has your cousin had BRCA genetic testing?
Not tested
Negative
BRCA1
BRCA2
Paternal Uncles’ Daughter 5
Current age or age at death
Has this cousin had breast cancer?
Yes
No
I don’t know
Enter age at diagnosis
Was your cousin’s breast cancer in both breasts?
Yes
No
I don’t know
Your cousin’s age when cancer was detected in her second breast
Has your cousin had ovarian cancer?
Yes
No
I don’t know
Enter age at diagnosis
Has your cousin had BRCA genetic testing?
Not tested
Negative
BRCA1
BRCA2
Paternal Uncles’ Daughter 6
Current age or age at death
Has this cousin had breast cancer?
Yes
No
I don’t know
Enter age at diagnosis
Was your cousin’s breast cancer in both breasts?
Yes
No
I don’t know
Your cousin’s age when cancer was detected in her second breast
Has your cousin had ovarian cancer?
Yes
No
I don’t know
Enter age at diagnosis
Has your cousin had BRCA genetic testing?
Not tested
Negative
BRCA1
BRCA2
Paternal Uncles’ Daughter 7
Current age or age at death
Has this cousin had breast cancer?
Yes
No
I don’t know
Enter age at diagnosis
Was your cousin’s breast cancer in both breasts?
Yes
No
I don’t know
Your cousin’s age when cancer was detected in her second breast
Has your cousin had ovarian cancer?
Yes
No
I don’t know
Enter age at diagnosis
Has your cousin had BRCA genetic testing?
Not tested
Negative
BRCA1
BRCA2
Paternal Uncles’ Daughter 8
Current age or age at death
Has this cousin had breast cancer?
Yes
No
I don’t know
Enter age at diagnosis
Was your cousin’s breast cancer in both breasts?
Yes
No
I don’t know
Your cousin’s age when cancer was detected in her second breast
Has your cousin had ovarian cancer?
Yes
No
I don’t know
Enter age at diagnosis
Has your cousin had BRCA genetic testing?
Not tested
Negative
BRCA1
BRCA2
Back
Next
Save
Maternal Grandmother
Current age or age at death
Has your maternal grandmother had breast cancer?
Yes
No
I don’t know
Enter age at diagnosis
Was your maternal grandmother's breast cancer in both breasts?
Yes
No
I don’t know
Your maternal grandmother’s age when cancer was detected in her second breast
Has your maternal grandmother had ovarian cancer?
Yes
No
I don’t know
Enter age at diagnosis
Has your maternal grandmother had BRCA genetic testing?
Not tested
Negative
BRCA1
BRCA2
Other Maternal Relatives
Which other maternal relatives (≥ 18 years) do you have ? You can select multiple relatives.
Aunt
Half-sister
Uncle’s daughter (only select this option if there is a history of breast or ovarian caner in any of your maternal uncles’ daughters)
Number of maternal aunts
*
Number of maternal half-sisters
*
Number of maternal uncles' daughters
*
Maternal Aunt 1
Current age or age at death
Has your maternal aunt had breast cancer?
Yes
No
I don’t know
Enter age at diagnosis
Was your maternal aunt's breast cancer in both breasts?
Yes
No
I don’t know
Your maternal aunt’s age when cancer was detected in her second breast
Has your maternal aunt had ovarian cancer?
Yes
No
I don’t know
Enter age at diagnosis
Has your maternal aunt had BRCA genetic testing?
Not tested
Negative
BRCA1
BRCA2
Does this aunt have a daughter with a history of breast or ovarian cancer?
Yes
No
I don’t know
How many daughters (≥18 years) does this maternal aunt have?
Maternal Aunt 1 - Daughter 1
Current age or age at death
Has this cousin had breast cancer?
Yes
No
I don’t know
Enter age at diagnosis
Was this cousin’s breast cancer in both breasts?
Yes
No
I don’t know
Your cousin's age when cancer was detected in her second breast
Has your cousin had ovarian cancer?
Yes
No
I don’t know
Enter age at diagnosis
Has your cousin had BRCA genetic testing?
Not tested
Negative
BRCA1
BRCA2
Maternal Aunt 1 - Daughter 2
Current age or age at death
Has this cousin had breast cancer?
Yes
No
I don’t know
Enter age at diagnosis
Was this cousin’s breast cancer in both breasts?
Yes
No
I don’t know
Your cousin's age when cancer was detected in her second breast
Has your cousin had ovarian cancer?
Yes
No
I don’t know
Enter age at diagnosis
Has your cousin had BRCA genetic testing?
Not tested
Negative
BRCA1
BRCA2
Maternal Aunt 1 - Daughter 3
Current age or age at death
Has this cousin had breast cancer?
Yes
No
I don’t know
Enter age at diagnosis
Was this cousin’s breast cancer in both breasts?
Yes
No
I don’t know
Your cousin's age when cancer was detected in her second breast
Has your cousin had ovarian cancer?
Yes
No
I don’t know
Enter age at diagnosis
Has your cousin had BRCA genetic testing?
Not tested
Negative
BRCA1
BRCA2
Maternal Aunt 2
Current age or age at death
Has your maternal aunt had breast cancer?
Yes
No
I don’t know
Enter age at diagnosis
Was your maternal aunt's breast cancer in both breasts?
Yes
No
I don’t know
Your maternal aunt’s age when cancer was detected in her second breast
Has your maternal aunt had ovarian cancer?
Yes
No
I don’t know
Enter age at diagnosis
Has your maternal aunt had BRCA genetic testing?
Not tested
Negative
BRCA1
BRCA2
Does this aunt have a daughter with a history of breast or ovarian cancer?
Yes
No
I don’t know
How many daughters (≥18 years) does this maternal aunt have?
Maternal Aunt 2 - Daughter 1
Current age or age at death
Has this cousin had breast cancer?
Yes
No
I don’t know
Enter age at diagnosis
Was this cousin’s breast cancer in both breasts?
Yes
No
I don’t know
Your cousin's age when cancer was detected in her second breast
Has your cousin had ovarian cancer?
Yes
No
I don’t know
Enter age at diagnosis
Has your cousin had BRCA genetic testing?
Not tested
Negative
BRCA1
BRCA2
Maternal Aunt 2 - Daughter 2
Current age or age at death
Has this cousin had breast cancer?
Yes
No
I don’t know
Enter age at diagnosis
Was this cousin’s breast cancer in both breasts?
Yes
No
I don’t know
Your cousin's age when cancer was detected in her second breast
Has your cousin had ovarian cancer?
Yes
No
I don’t know
Enter age at diagnosis
Has your cousin had BRCA genetic testing?
Not tested
Negative
BRCA1
BRCA2
Maternal Aunt 2 - Daughter 3
Current age or age at death
Has this cousin had breast cancer?
Yes
No
I don’t know
Enter age at diagnosis
Was this cousin’s breast cancer in both breasts?
Yes
No
I don’t know
Your cousin's age when cancer was detected in her second breast
Has your cousin had ovarian cancer?
Yes
No
I don’t know
Enter age at diagnosis
Has your cousin had BRCA genetic testing?
Not tested
Negative
BRCA1
BRCA2
Maternal Aunt 3
Current age or age at death
Has your maternal aunt had breast cancer?
Yes
No
I don’t know
Enter age at diagnosis
Was your maternal aunt's breast cancer in both breasts?
Yes
No
I don’t know
Your maternal aunt’s age when cancer was detected in her second breast
Has your maternal aunt had ovarian cancer?
Yes
No
I don’t know
Enter age at diagnosis
Has your maternal aunt had BRCA genetic testing?
Not tested
Negative
BRCA1
BRCA2
Does this aunt have a daughter with a history of breast or ovarian cancer?
Yes
No
I don’t know
How many daughters (≥18 years) does this maternal aunt have?
Maternal Aunt 3 - Daughter 1
Current age or age at death
Has this cousin had breast cancer?
Yes
No
I don’t know
Enter age at diagnosis
Was this cousin’s breast cancer in both breasts?
Yes
No
I don’t know
Your cousin's age when cancer was detected in her second breast
Has your cousin had ovarian cancer?
Yes
No
I don’t know
Enter age at diagnosis
Has your cousin had BRCA genetic testing?
Not tested
Negative
BRCA1
BRCA2
Maternal Aunt 3 - Daughter 2
Current age or age at death
Has this cousin had breast cancer?
Yes
No
I don’t know
Enter age at diagnosis
Was this cousin’s breast cancer in both breasts?
Yes
No
I don’t know
Your cousin's age when cancer was detected in her second breast
Has your cousin had ovarian cancer?
Yes
No
I don’t know
Enter age at diagnosis
Has your cousin had BRCA genetic testing?
Not tested
Negative
BRCA1
BRCA2
Maternal Aunt 3 - Daughter 3
Current age or age at death
Has this cousin had breast cancer?
Yes
No
I don’t know
Enter age at diagnosis
Was this cousin’s breast cancer in both breasts?
Yes
No
I don’t know
Your cousin's age when cancer was detected in her second breast
Has your cousin had ovarian cancer?
Yes
No
I don’t know
Enter age at diagnosis
Has your cousin had BRCA genetic testing?
Not tested
Negative
BRCA1
BRCA2
Maternal Aunt 4
Current age or age at death
Has your maternal aunt had breast cancer?
Yes
No
I don’t know
Enter age at diagnosis
Was your maternal aunt's breast cancer in both breasts?
Yes
No
I don’t know
Your maternal aunt’s age when cancer was detected in her second breast
Has your maternal aunt had ovarian cancer?
Yes
No
I don’t know
Enter age at diagnosis
Has your maternal aunt had BRCA genetic testing?
Not tested
Negative
BRCA1
BRCA2
Does this aunt have a daughter with a history of breast or ovarian cancer?
Yes
No
I don’t know
How many daughters (≥18 years) does this maternal aunt have?
Maternal Aunt 4 - Daughter 1
Current age or age at death
Has this cousin had breast cancer?
Yes
No
I don’t know
Enter age at diagnosis
Was this cousin’s breast cancer in both breasts?
Yes
No
I don’t know
Your cousin's age when cancer was detected in her second breast
Has your cousin had ovarian cancer?
Yes
No
I don’t know
Enter age at diagnosis
Has your cousin had BRCA genetic testing?
Not tested
Negative
BRCA1
BRCA2
Maternal Aunt 4 - Daughter 2
Current age or age at death
Has this cousin had breast cancer?
Yes
No
I don’t know
Enter age at diagnosis
Was this cousin’s breast cancer in both breasts?
Yes
No
I don’t know
Your cousin's age when cancer was detected in her second breast
Has your cousin had ovarian cancer?
Yes
No
I don’t know
Enter age at diagnosis
Has your cousin had BRCA genetic testing?
Not tested
Negative
BRCA1
BRCA2
Maternal Aunt 4 - Daughter 3
Current age or age at death
Has this cousin had breast cancer?
Yes
No
I don’t know
Enter age at diagnosis
Was this cousin’s breast cancer in both breasts?
Yes
No
I don’t know
Your cousin's age when cancer was detected in her second breast
Has your cousin had ovarian cancer?
Yes
No
I don’t know
Enter age at diagnosis
Has your cousin had BRCA genetic testing?
Not tested
Negative
BRCA1
BRCA2
Maternal Aunt 5
Current age or age at death
Has your maternal aunt had breast cancer?
Yes
No
I don’t know
Enter age at diagnosis
Was your maternal aunt's breast cancer in both breasts?
Yes
No
I don’t know
Your maternal aunt’s age when cancer was detected in her second breast
Has your maternal aunt had ovarian cancer?
Yes
No
I don’t know
Enter age at diagnosis
Has your maternal aunt had BRCA genetic testing?
Not tested
Negative
BRCA1
BRCA2
Does this aunt have a daughter with a history of breast or ovarian cancer?
Yes
No
I don’t know
How many daughters (≥18 years) does this maternal aunt have?
Maternal Aunt 5 - Daughter 1
Current age or age at death
Has this cousin had breast cancer?
Yes
No
I don’t know
Enter age at diagnosis
Was this cousin’s breast cancer in both breasts?
Yes
No
I don’t know
Your cousin's age when cancer was detected in her second breast
Has your cousin had ovarian cancer?
Yes
No
I don’t know
Enter age at diagnosis
Has your cousin had BRCA genetic testing?
Not tested
Negative
BRCA1
BRCA2
Maternal Aunt 5 - Daughter 2
Current age or age at death
Has this cousin had breast cancer?
Yes
No
I don’t know
Enter age at diagnosis
Was this cousin’s breast cancer in both breasts?
Yes
No
I don’t know
Your cousin's age when cancer was detected in her second breast
Has your cousin had ovarian cancer?
Yes
No
I don’t know
Enter age at diagnosis
Has your cousin had BRCA genetic testing?
Not tested
Negative
BRCA1
BRCA2
Maternal Aunt 5 - Daughter 3
Current age or age at death
Has this cousin had breast cancer?
Yes
No
I don’t know
Enter age at diagnosis
Was this cousin’s breast cancer in both breasts?
Yes
No
I don’t know
Your cousin's age when cancer was detected in her second breast
Has your cousin had ovarian cancer?
Yes
No
I don’t know
Enter age at diagnosis
Has your cousin had BRCA genetic testing?
Not tested
Negative
BRCA1
BRCA2
Maternal Half-Sister 1
Current age or age at death
Has your maternal half-sister had breast cancer?
Yes
No
I don’t know
Enter age at diagnosis
Was your maternal half-sister's breast cancer in both breasts?
Yes
No
I don’t know
Your maternal half-sister's age when cancer was detected in her second breast
Has your maternal half-sister had ovarian cancer?
Yes
No
I don’t know
Enter age at diagnosis
Has your maternal half-sister had BRCA genetic testing?
Not tested
Negative
BRCA1
BRCA2
Maternal Half-Sister 2
Current age or age at death
Has your Maternal half-sister had breast cancer?
Yes
No
I don’t know
Enter age at diagnosis
Was your maternal half-sister's breast cancer in both breasts?
Yes
No
I don’t know
Your maternal half-sister's age when cancer was detected in her second breast
Has your maternal half-sister had ovarian cancer?
Yes
No
I don’t know
Enter age at diagnosis
Has your maternal half-sister had BRCA genetic testing?
Not tested
Negative
BRCA1
BRCA2
Maternal Half-Sister 3
Current age or age at death
Has your maternal half-sister had breast cancer?
Yes
No
I don’t know
Enter age at diagnosis
Was your maternal half-sister's breast cancer in both breasts?
Yes
No
I don’t know
Your maternal half-sister's age when cancer was detected in her second breast
Has your maternal half-sister had ovarian cancer?
Yes
No
I don’t know
Enter age at diagnosis
Has your maternal half-sister had BRCA genetic testing?
Not tested
Negative
BRCA1
BRCA2
Maternal Uncles’ Daughter 1
Current age or age at death
Has this cousin had breast cancer?
Yes
No
I don’t know
Enter age at diagnosis
Was your cousin’s breast cancer in both breasts?
Yes
No
I don’t know
Your cousin’s age when cancer was detected in her second breast
Has your cousin had ovarian cancer?
Yes
No
I don’t know
Enter age at diagnosis
Has your cousin had BRCA genetic testing?
Not tested
Negative
BRCA1
BRCA2
Maternal Uncles’ Daughter 2
Current age or age at death
Has this cousin had breast cancer?
Yes
No
I don’t know
Enter age at diagnosis
Was your cousin’s breast cancer in both breasts?
Yes
No
I don’t know
Your cousin's age when cancer was detected in her second breast
Has your cousin had ovarian cancer?
Yes
No
I don’t know
Enter age at diagnosis
Has your cousin had BRCA genetic testing?
Not tested
Negative
BRCA1
BRCA2
Maternal Uncles’ Daughter 3
Current age or age at death
Has this cousin had breast cancer?
Yes
No
I don’t know
Enter age at diagnosis
Was your cousin’s breast cancer in both breasts?
Yes
No
I don’t know
Your cousin’s age when cancer was detected in her second breast
Has your cousin had ovarian cancer?
Yes
No
I don’t know
Enter age at diagnosis
Has your cousin had BRCA genetic testing?
Not tested
Negative
BRCA1
BRCA2
Maternal Uncles’ Daughter 4
Current age or age at death
Has this cousin had breast cancer?
Yes
No
I don’t know
Enter age at diagnosis
Was your cousin’s breast cancer in both breasts?
Yes
No
I don’t know
Your cousin’s age when cancer was detected in her second breast
Has your cousin had ovarian cancer?
Yes
No
I don’t know
Enter age at diagnosis
Has your cousin had BRCA genetic testing?
Not tested
Negative
BRCA1
BRCA2
Maternal Uncles’ Daughter 5
Current age or age at death
Has this cousin had breast cancer?
Yes
No
I don’t know
Enter age at diagnosis
Was your cousin’s breast cancer in both breasts?
Yes
No
I don’t know
Your cousin’s age when cancer was detected in her second breast
Has your cousin had ovarian cancer?
Yes
No
I don’t know
Enter age at diagnosis
Has your cousin had BRCA genetic testing?
Not tested
Negative
BRCA1
BRCA2
Maternal Uncles’ Daughter 6
Current age or age at death
Has this cousin had breast cancer?
Yes
No
I don’t know
Enter age at diagnosis
Was your cousin’s breast cancer in both breasts?
Yes
No
I don’t know
Your cousin’s age when cancer was detected in her second breast
Has your cousin had ovarian cancer?
Yes
No
I don’t know
Enter age at diagnosis
Has your cousin had BRCA genetic testing?
Not tested
Negative
BRCA1
BRCA2
Maternal Uncles’ Daughter 7
Current age or age at death
Has this cousin had breast cancer?
Yes
No
I don’t know
Enter age at diagnosis
Was your cousin’s breast cancer in both breasts?
Yes
No
I don’t know
Your cousin’s age when cancer was detected in her second breast
Has your cousin had ovarian cancer?
Yes
No
I don’t know
Enter age at diagnosis
Has your cousin had BRCA genetic testing?
Not tested
Negative
BRCA1
BRCA2
Maternal Uncles’ Daughter 8
Current age or age at death
Has this cousin had breast cancer?
Yes
No
I don’t know
Enter age at diagnosis
Was your cousin’s breast cancer in both breasts?
Yes
No
I don’t know
Your cousin’s age when cancer was detected in her second breast
Has your cousin had ovarian cancer?
Yes
No
I don’t know
Enter age at diagnosis
Has your cousin had BRCA genetic testing?
Not tested
Negative
BRCA1
BRCA2
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