
Liver Disease Self-Risk Assessment
This questionnaire is intended for preliminary screening only and cannot replace a medical diagnosis by a physician.
1
Have you been diagnosed with liver cirrhosis?
2
Do you have chronic hepatitis B infection?
3
Do you have hepatitis C or have you been treated for it before?
4
Have you been told by the doctors that you have advanced liver fibrosis or early cirrhosis?
5
If you have HBV: Are you Male ≥40 years or Female ≥50 years?
6
Is there a family history of liver cancer?
7
Do you have fatty liver disease (NASH) with obesity or diabetes?
8
Do you have a history of long-term alcohol consumption?
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.