Breast Cancer Risk Screening Score
Please answer the following questions truthfully to assess your breast cancer risk.
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Part 1: Your Age
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Part 2: Family & Genetic History - Do you have a first-degree relative (mother, sister, daughter) with breast cancer?
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Do you have a first-degree relative with ovarian cancer?
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Do you have multiple relatives with breast cancer or diagnosed before age 50?
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Are you aware of a BRCA1/BRCA2 gene mutation in yourself or your family?
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Part 3: Personal History - Have you ever had breast cancer before?
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Have you ever been diagnosed with atypical hyperplasia or LCIS in the breast?
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Have you ever received radiation therapy to the chest?
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Part 4: Hormonal and Reproductive History - Did you have your first period before age 12?
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Did you go through menopause after age 55?
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Are you nulliparous or did you have your first child after age 30?
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Have you used hormone replacement therapy (HRT) for > 5 years?
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Part 5: Behaviors & Co-factors - Are you obese or have a BMI ≥25 kg/m² (post-menopause)?
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Do you consume alcohol regularly?
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Do you lack exercise?
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Do you smoke?
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Part 6: Breast Symptoms (past 3 months) - Do you have a palpable breast lump?
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Has there been a change in your breast shape or size?
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Do you have skin dimpling, redness, or thickening (like an orange peel)?
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Do you have abnormal nipple retraction?
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Do you have abnormal nipple discharge or blood?
Your responses are anonymous and will be kept confidential.
This questionnaire does not collect personally identifiable information. By clicking to submit your responses, you agree to the terms of use.