Survey

Q1: Do you or a family member have a history of breast cancer at age 50 or younger?
YESNO

Q2: Were you or a family member personally diagnosed with ovarian cancer?
YESNO

Q3: Do you have three or more family members on the same side of the family with breast or ovarian cancer at any age?
YESNO

Q4: Were you or a family member diagnosed with triple negative breast cancer at age 60 or younger?
YESNO

Q5: Were you or a family member diagnosed with male breast cancer?
YESNO

Q6: Are you Ashkenazi Jewish with a family history of breast cancer at any age?
YESNO

Q7: Does your family have a known genetic mutation?
YESNO