Survey

1

Have you ever spoken with a doctor about your personal or family risk of breast cancer?* This field is required.

Yes

No

2

What risk reduction strategies have you discussed with your doctor in regard to your breast health?* This field is required.

Breast Screenings - yearly

Breast Screenings - Every 6 months

Self Exams

Preventive Surgery

Other

3

Assuming your insurance would pay for it, would you consider preventative surgery (like a mastectomy or hysterectomy) if your doctor said you had a high lifetime risk of developing cancer, even without having a known gene mutation?* This field is required.Pick the answer you relate to the MOST.

Yes

No

I didn't know that was an option.

4

Do you know your family history when it comes to breast or reproductive cancers?* This field is required.Pick the answer you relate to the MOST.

Yes, I've looked into it thoroughly.

I have some knowledge.

I'm adopted.

I haven't looked into it.

5

How often do you perform breast self-exams?* This field is required.Pick the answer you relate to the MOST.

Monthly

Every Few Months

Rarely or Never

I don't know how to do one.

6

If a mobile app helped you understand your breast screening reports and provided you personalized questions to bring to your doctor, would you use it?* This field is required.

Absolutely

Maybe

Not for me.