Male Questionnaire
Page 5(f) of 9

You are on page 5f of 9
 
 
Report by The Analyst™
Click to see sample report
PREVIEW: THIS PAGE WILL NOT BE SAVED
We need your:
  • consent to use cookies
  • 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.

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

Q578

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

Q579

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

Q580

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

Q581

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

Q582

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)

Q583

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

Q584

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

Q585

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

Q586

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

Q587

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

Q588

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

Q589

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

Q590

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

Q591

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

Q592

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

Q593

Have you suffered from Testicular 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

Q594

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.

Q595

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

Q596

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:
  • consent to use cookies
  • 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.

We use cookies for traffic analysis, advertising, and to provide the best user experience