breast cancer questionnaire

Question	Yes	No
Have you ever had breast or ovarian cancer?
Has anyone in your family had breast or ovarian cancer?
Did any family members get breast or ovarian cancer before age 50?
Have any men in your family had breast cancer?
Do you have Jewish ancestry and a personal or family history of breast or ovarian cancer?
Did you have your first menstrual period before age 12?
Did you have your first child after age 30?
Have you gone through menopause? If so, did you go through menopause after the age of 55?
Have you ever had hormone replacement therapy?
Have you ever had radiation therapy to the chest?
Do you exercise fewer than three times a week?
Do you drink 2 or more alcoholic beverages a day?
Are you overweight?

The first powerful step you can take in your Connection process is to complete the Genomedical connection “MeTree.”

Then, talk to your family, and talk to your doctor.