Lung Cancer Risk Screening Score
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Lung Cancer Risk Screening Score

Please answer the following questions to assess your lung cancer risk. (If you have multiple conditions in one category, select the most severe one).

1

Part 1: Your Age

2

Part 2: Smoking History

3

Duration of smoking (if former/current)

4

Part 3: Secondhand Smoke

5

Part 4: Lung Disease History

6

Part 5: Family History

7

Part 6: Risk Exposure

8

Part 7: Abnormal Symptoms (Past 3 months) - Do you have a chronic cough (>3 weeks)?

9

Do you cough up blood (hemoptysis)?

10

Do you get tired easily / experience shortness of breath?

11

Do you have chest pain?

12

Do you experience weight loss, loss of appetite, or 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.