
Colorectal Cancer Risk Screening Score
Please answer the following questions truthfully to assess your colorectal cancer risk.
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Part 1: Your Age
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Part 2: Family History
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Part 3: Medical History
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Part 4: Comorbidities - Do you have Diabetes?
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Are you obese / overweight?
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Do you have high cholesterol / hyperlipidemia?
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Part 5: Risk Behaviors - Do you regularly consume red or processed meat?
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Do you consume a low amount of fruits, vegetables, and fiber?
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Do you exercise less than 150 minutes per week?
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Do you smoke?
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Do you consume alcohol regularly?
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Part 6: Abnormal Symptoms (Past 3-6 months) - Do you have blood in stool / black stool?
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Do you have alternating constipation and diarrhea or changed stool caliber?
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Do you have chronic abdominal pain or fullness?
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Do you have unexplained weight loss?
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Do you have anemia or chronic fatigue?
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.