Cancer Protection Assessment

How would you like to do this?* This field is required.

Speak to one of our own team today

Answer your health questions – about 2 minutes

Give us a ring on 020 8135 4926

We're around Monday to Friday, 9am to 6pm.

Prefer email? Write to hello@morethancancer.co.uk and we'll get back to you.

Here's how this works

We'll ask about your cancer, any other health stuff and a few bits about you.

Don't know an answer? Pick Not sure. We'll go through it with you later.

One of our Cancer Advisers will review your answers and come back to you.

We won't share your name or details with an insurer without asking you first.

What's the cover for?* This field is required.Tick as many as you like.

Paying off the mortgage

Leaving money for my family

Replacing my income if I die

Paying for my funeral

Not sure yet

Roughly how much cover?* This field is required.A ballpark is fine.

Up to £25,000

£25,000 to £100,000

£100,000 to £250,000

More than £250,000

Not sure yet

How long do you want it for?* This field is required.

Until the mortgage is paid off

A set number of years

The rest of my life

Not sure yet

When's your birthday?* This field is required.We'll need the year too.

What type of cancer is it, or was it?* This field is required.Had more than one? Pick the more serious one. You can tell us about the other in a minute. Pre-cancer counts too, like abnormal cervical cells (CIN).

Breast

Prostate

Bowel

Skin: melanoma

Skin: basal cell (BCC) or squamous cell

Lymphoma, leukaemia or myeloma

Thyroid

Testicular

Womb

Cervix

Ovary

Kidney

Bladder

Mouth or throat

Lung

Other

Which one?* This field is required.

Hodgkin lymphoma

Non-Hodgkin lymphoma

CLL (chronic lymphocytic leukaemia)

Another leukaemia

Myeloma

Not sure

Where are you at with it now?* This field is required.Only taking hormone tablets now, like tamoxifen or letrozole? Pick "Treatment's done".

Still having treatment

Treatment's done, but I still have check-ups

Treatment's done and I've been signed off

Being watched, but I haven't needed treatment

Waiting on tests or results (not just a routine check-up)

Roughly when were you diagnosed?* This field is required.Your best guess is fine.

Less than a year ago

1 to 2 years ago

2 to 3 years ago

3 to 5 years ago

5 to 10 years ago

More than 10 years ago

And when did treatment finish?* This field is required.

Less than a year ago

1 to 2 years ago

2 to 3 years ago

3 to 5 years ago

5 to 10 years ago

More than 10 years ago

Did it spread anywhere?* This field is required.Lymph nodes taken out just to check, and they were clear? That's a "No".

Yes, to nearby lymph nodes (they found cancer in them)

Yes, to other parts of the body

Not sure

Do you know what stage it is, or was?* This field is required.

Stage 0 (sometimes called "in situ", like DCIS)

Stage 1

Stage 2

Stage 3

Stage 4

Not sure

What treatment have you had so far?* This field is required.Tick all that apply.

An operation (even a small one, like having a mole removed or LLETZ)

Chemo

Radiotherapy (including radioactive iodine)

Hormone therapy (tablets like tamoxifen or letrozole, or injections)

Immunotherapy or targeted drugs

Something else

Are you still on the hormone therapy?* This field is required.

Yes

Has it ever come back, or have you had a different cancer too?* This field is required.Skin cancers like BCC count.

Yes, it came back

Yes, I've had a different type too

Which one, and roughly what year?* This field is required.

Do you know what grade it was?* This field is required.A couple of quick ones about breast cancer.

Grade 1

Grade 2

Grade 3

Not sure

Were you told it was DCIS (non-invasive) or invasive?* This field is required.

DCIS

Invasive

Not sure

What was your Gleason score? Or were you told low, medium or high risk?* This field is required.A couple of quick ones about prostate cancer.

6 (3+3), or low risk

7 (3+4 or 4+3), or medium risk

8 or more, or high risk

Not sure

What did your last PSA test show?* This field is required.

Very low, or too low to measure

About the same as the one before

Higher than the one before

Not sure

Was your last colonoscopy or scan clear?* This field is required.

Yes, all clear

They found something

Not had one yet

Not sure

Have you been told you carry a gene that raises cancer risk, like BRCA or Lynch syndrome?* This field is required.

Yes

Not sure, or never tested

Do you know how deep it was?* This field is required.Doctors call this the Breslow thickness.

Less than 1mm

1 to 2mm

2 to 4mm

More than 4mm

Not sure

Has a doctor ever diagnosed or treated you for any of these?* This field is required.That's the cancer questions done. Now everything else. Tick all that apply.

High blood pressure

High cholesterol

Anxiety, depression, stress or another mental health condition

Diabetes

Asthma, COPD, sleep apnoea or another breathing problem

Crohn's, colitis, IBS or another tummy or bowel problem

A heart problem, stroke or mini-stroke

Liver or pancreas problems (including fatty liver)

Kidney or bladder problems (including kidney stones)

Epilepsy, MS or another brain or nerve problem

Thyroid problems

None of these

How long have you had high blood pressure?* This field is required.

Less than a year

More than a year

What did they say at your last blood pressure check?* This field is required.

All normal

A bit high, but OK

Too high, it needs bringing down

Not had it checked in the last year

Not sure

How long have you had high cholesterol?* This field is required.

Less than a year

More than a year

What did they say at your last cholesterol check?* This field is required.

All normal

A bit high, but OK

Too high, it needs bringing down

Not had it checked in the last year

Not sure

Which mental health conditions?* This field is required.Tick all that apply.

Anxiety

Depression

Stress

Bipolar disorder

Something else

How much does it affect your day-to-day life now?* This field is required.

Not at all

Sometimes it stops me working or doing normal things

Often it stops me working or doing normal things

Have any of these ever happened?* This field is required.Insurers ask everyone this. A yes doesn't automatically rule you out. Tick any that apply.

I've stayed in hospital for my mental health

I've seen a psychiatrist (not a counsellor or therapist)

I've harmed myself or tried to take my own life

None of these

I'd rather talk about this on the phone

Which type, and how do you treat it?* This field is required.

Type 1

Type 2, with diet only

Type 2, with tablets

Type 2, with insulin or other injections

Prediabetes

What did they say at your last diabetes review?* This field is required.

Well controlled

A bit high

High

Not sure

Has diabetes caused any problems with your eyes, kidneys, nerves or feet?* This field is required.

Yes

Which breathing problems?* This field is required.Tick all that apply.

Asthma

COPD or emphysema

Sleep apnoea

Something else

In the last 2 years, have you needed steroid tablets, or a trip to hospital or A&E, because of it?* This field is required.

Yes

Which tummy or bowel problems?* This field is required.Tick all that apply.

IBS

Acid reflux

Crohn's

Ulcerative colitis

Coeliac disease

Something else

In the last 2 years, have you needed steroids, a hospital stay or an operation for it?* This field is required.

Yes

Which heart or stroke problems?* This field is required.Tick all that apply.

Heart attack

Angina

Irregular heartbeat

Heart valve problem

Heart failure or a weak heart muscle

Heart damage from cancer treatment

Stroke

Mini-stroke (TIA)

Something else

When did you last have symptoms or treatment for it?* This field is required.

I still do

In the last year

1 to 5 years ago

More than 5 years ago

Which liver or pancreas problems?* This field is required.Tick all that apply.

Fatty liver

Hepatitis

Liver damage or cirrhosis

Pancreatitis

Something else

Has a doctor ever told you to cut down or stop drinking?* This field is required.

Yes

Which kidney or bladder problems?* This field is required.Tick all that apply.

Kidney stones

Kidneys not working as well as they should (CKD)

Something else

Do you know which stage?* This field is required.

1 or 2

4 or 5

Not sure

Which brain or nerve problems?* This field is required.Tick all that apply.

Epilepsy

Parkinson's

Numbness or tingling from cancer treatment

Something else

How much does it affect your day-to-day life?* This field is required.

Not at all

Sometimes it stops me doing normal things

Often it stops me doing normal things

When was your last seizure?* This field is required.

In the last year

1 to 5 years ago

More than 5 years ago

Apart from the cancer, are you waiting on any tests, scans, results, operations or referrals?* This field is required.

Yes

Anything else about your health you'd like us to know?* This field is required.A stoma, arthritis, side effects from treatment, that kind of thing.

No, that's everything

Yes

Tell us in your own words.* This field is required.

Have you smoked, vaped, or used nicotine patches or gum in the last 12 months?* This field is required.Nearly done. Even the odd one counts.

Yes

How tall are you?* This field is required.

And roughly what do you weigh?* This field is required.Close enough is fine for now.

What's your name?* This field is required.Last bit. Filling this in for someone else? Put their name here.

Your email* This field is required.

Best number to reach you on* This field is required.

Before you send this* This field is required.

I'm happy for More Than Cancer to use these answers to look at insurance options. If they're someone else's answers, they've said that's OK.

OLD form (before 16 Oct 2026): Your primary Cancer (location or type)

OLD form (before 16 Oct 2026): Current status

I currently have Cancer

I previously had Cancer

OLD form (before 16 Oct 2026): Which type of cancer was it or is it?

Breast

Prostate

Bowel

Lung

Skin

Blood or lymph

Something else

OLD form (before 16 Oct 2026): Which kind of skin cancer?

Melanoma

Basal cell or squamous cell

Not sure

OLD form (before 16 Oct 2026): Which type?

Kidney

Bladder

Cervical

Ovarian

Womb

Testicular

Thyroid

Pancreatic

Stomach or oesophagus

Head or neck

Brain or spinal cord

Another type

More than one type

OLD form (before 16 Oct 2026): Was this abnormal cells or CIN found at screening, rather than cervical cancer itself?

Yes

Not sure

OLD form (before 16 Oct 2026): Are you having treatment for cancer at the moment?

Yes

OLD form (before 16 Oct 2026): Has a specialist ever told you that the aim of treatment is to control the cancer rather than cure it?

Yes

Not sure

OLD form (before 16 Oct 2026): When did your surgery, chemotherapy or radiotherapy finish?

Within the last 12 months

1 to 2 years ago

2 to 5 years ago

More than 5 years ago

I didn't have any of these

OLD form (before 16 Oct 2026): Has the cancer spread to another part of your body, such as the bones, liver, lungs or brain?

Yes

Not sure

OLD form (before 16 Oct 2026): Are you waiting for any referrals, scans, tests or results?Excluding routine cancer screenings or follow-up appointments, but including your general health.

Yes

OLD form (before 16 Oct 2026): Have you been diagnosed with cancer more than once?

Yes, the same cancer came back

Yes, a different cancer

Not sure

OLD form (before 16 Oct 2026): When was the most recent diagnosis?

Within the last year

1 to 2 years ago

2 to 5 years ago

More than 5 years ago

OLD form (before 16 Oct 2026): When were you first diagnosed with cancer?

Within the last 12 months

1 to 2 years ago

2 to 5 years ago

5 to 10 years ago

More than 10 years ago