Female Questionnaire
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Have you suffered from any of the following types of cancer?

Q631

Have you suffered from Bile Duct Cancer?
  • No / don't know
  • Yes but now resolved for over 5 years
  • Yes but now resolved for under 5 years
  • Current problem but containable
  • Current problem and aggressive/spreading

Q632

Have you suffered from Bladder Cancer?
  • No / don't know
  • Yes but now resolved for over 5 years
  • Yes but now resolved for under 5 years
  • Current problem but containable
  • Current problem and aggressive/spreading

Q633

Have you suffered from Brain Cancer?
  • No / don't know
  • Now resolved for at least 5 years
  • Now resolved for less than 5 years
  • Current problem but containable
  • Current problem, aggressive/spreading

Q634

Have you suffered from Breast Cancer?
  • No / don't know
  • Yes but now resolved for over 5 years
  • Yes but now resolved for under 5 years
  • Current problem but containable
  • Current problem and aggressive/spreading

Q635

Have you suffered from Cervical Cancer?
  • No / don't know
  • Yes, resolved with total hysterectomy
  • Yes, resolved with local surgery/radiation/drugs
  • Yes, resolved through natural means only
  • Current problem needing treatment

Q636

Have you suffered from Colon Cancer?
  • No / don't know
  • Yes but now resolved for over 5 years
  • Yes but now resolved for under 5 years
  • Current problem but containable
  • Current problem and aggressive/spreading

Q637

Have you suffered from Endometrial Cancer (cancer of the uterus)?
  • No / don't know
  • Yes but now resolved for over 5 years
  • Yes but now resolved for under 5 years
  • Current problem but containable
  • Current problem and aggressive/spreading

Q638

Have you suffered from any type of Leukemia?
  • No / don't know
  • Acute Lymphoblastic Leukemia (ALL)
  • Acute Myeloid Leukemia (AML)
  • Chronic Lymphocytic Leukemia (CLL)
  • Chronic Myeloid Leukemia (CML)

Q639

Have you suffered from Liver Cancer?
  • No / don't know
  • Yes but now resolved for over 5 years
  • Yes but now resolved for under 5 years
  • Current problem but containable
  • Current problem and aggressive/spreading

Q640

Have you suffered from Hodgkin's Lymphoma?
  • No / don't know
  • Yes but now resolved for over 5 years
  • Yes but now resolved for under 5 years
  • Current problem but containable
  • Current problem and aggressive/spreading

Q641

Have you suffered from Non-Hodgkin's Lymphoma (NHL)?
  • No / don't know
  • Yes but now resolved for over 5 years
  • Yes but now resolved for under 5 years
  • Current problem but containable
  • Current problem and aggressive/spreading

Q642

Have you suffered from Kidney Cancer?
  • No / don't know
  • Yes but now resolved for over 5 years
  • Yes but now resolved for under 5 years
  • Current problem but containable
  • Current problem and aggressive/spreading

Q643

Have you suffered from Lung Cancer?
  • No / don't know
  • Yes but now resolved for over 5 years
  • Yes but now resolved for under 5 years
  • Current problem but containable
  • Current problem and aggressive/spreading

Q644

Have you suffered from Ovarian Cancer?
  • No / don't know
  • Yes but now resolved for over 5 years
  • Yes but now resolved for under 5 years
  • Current problem but containable
  • Current problem and aggressive/spreading

Q645

Have you suffered from Pancreatic Cancer?
  • No / don't know
  • Yes but now resolved for over 5 years
  • Yes but now resolved for under 5 years
  • Current problem but containable
  • Current problem and aggressive/spreading

Q646

Have you suffered from Melanoma (a skin cancer)?
  • No / don't know
  • Yes but now resolved for over 5 years
  • Yes but now resolved for under 5 years
  • Current problem but containable
  • Current problem and aggressive/spreading

Q647

Have you suffered from Basal Cell Carcinoma (a skin cancer)?
  • No / don't know
  • Yes but now resolved for over 5 years
  • Yes but now resolved for under 5 years
  • Current problem but containable
  • Current problem and aggressive/spreading

Q648

Have you suffered from Squamous Cell Carcinoma (a skin cancer)?
  • No / don't know
  • Yes but now resolved for over 5 years
  • Yes but now resolved for under 5 years
  • Current problem but containable
  • Current problem and aggressive/spreading

Q649

Have you suffered from Stomach Cancer?
  • No / don't know
  • Yes but now resolved for over 5 years
  • Yes but now resolved for under 5 years
  • Current problem but containable
  • Current problem and aggressive/spreading

Q650

Have you suffered from Thyroid Cancer?
  • No / don't know
  • Yes but now resolved for over 5 years
  • Yes but now resolved for under 5 years
  • Current problem but containable
  • Current problem and aggressive/spreading

Cancer treatments.

Q651

Have you ever received chemotherapy for cancer? Treatment may have been "Standard" (a typical course of chemotherapy for your cancer) or "Extensive" (either a prolonged course or multiple courses of chemotherapy - more than is typically used.)
  • No / don't know
  • Standard treatment 3 or more years ago
  • Extensive treatment 3 or more years ago
  • Standard treatment less than 3 years ago
  • Extensive treatment less than 3 years ago

Q652

Have you ever received radiation therapy for cancer? Treatment may have been "Standard" (the radiation intensity and frequency were typical for your cancer) or "Extended" (a greater-than-usual intensity or frequency of treatments was required.)
  • No / don't know
  • Standard treatment 3 or more years ago
  • Extended treatment 3 or more years ago
  • Standard treatment less than 3 years ago
  • Extended treatment less than 3 years ago
Report by The Analyst™
Click to see sample report
PREVIEW: THIS PAGE WILL NOT BE SAVED
We need your:
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  • consent to collect data
  • name, age, and gender

Click here if you have already started the questionnaire and would like to continue.

Click here to start the questionnaire and receive your own detailed health analysis.

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