Cervical Cancer Risk Screening Score
Please answer the following questions truthfully to assess your cervical cancer risk. (If you have multiple conditions in one category, select the most severe one).
1
Part 1: Your Age
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Part 2: Screening History
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Part 3: Infection History and Results
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Part 4: Sexual Behavior History - Did you have your first sexual intercourse at a young age (<18 years)?
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Have you had multiple sexual partners (≥2)?
6
Does/Did your partner have multiple sexual partners?
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Part 5: Co-Risk Factors - Do you smoke?
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Do you have an immunodeficiency or use immunosuppressants?
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Are you infected with HIV?
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Have you NEVER received the HPV vaccine?
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Part 6: Abnormal Symptoms (Past 3-6 months) - Do you have abnormal vaginal bleeding / postcoital bleeding?
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Do you have abnormal vaginal discharge with odor or blood?
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Do you have chronic pelvic or lower abdominal pain?
14
Do you experience pain during intercourse?
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.