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
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