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Could your family history suggest inherited cancer risk?
12
Questions
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1
Has anyone in your close family been diagnosed with cancer before age 50?
*
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No / Not sure
Yes, one person
Yes, two or more
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2
On one side of your family, are there two or more relatives that have had the same type of cancer?
*
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For example, two maternal aunts diagnosed with breast cancer.
No / Not sure
Yes
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3
Has anyone in your family had ovarian cancer?
*
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No / Not sure
Yes
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4
Has anyone in your family had pancreatic cancer?
*
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No / Not sure
Yes
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5
Has any male relative in your family had breast cancer?
*
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No / Not sure
Yes
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6
Has anyone in your family had more than one separate primary cancer (not a recurrence)?
*
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For example, breast cancer twice, or breast cancer and ovarian cancer.
No / Not sure
Yes
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7
Has any blood relative tested positive for a hereditary cancer condition such as hereditary breast and ovarian cancer syndrome or Lynch syndrome?
*
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No / Not sure
Yes
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8
Do you have Ashkenazi Jewish ancestry?
*
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No / Not sure
Yes
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9
Have you personally been diagnosed with cancer, especially at a younger age, or had more than one primary cancer?
*
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No
Yes
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10
Name
*
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Please provide your details below so we can personalize your risk insights and deliver your results.
First Name
Last Name
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11
Email
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example@example.com
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12
utm_source
utm_source
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13
utm_medium
utm_medium
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14
utm_campaign
utm_campaign
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15
utm_content
utm_content
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16
utm_term
utm_term
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17
Opt In / Disclaimer (ADJUST)
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By submitting you're agreeing to receive emails. This DOES NOT replace medical advice.
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18
Calculation
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