Get the free Breast Cancer Risk Assessment Tool Questionnaire

Name Date of Birth SGM OB/GUN Breast Cancer Risk Assessment Tool Questionnaire The Breast Cancer Risk Assessment Tool is an interactive tool designed by scientists at the National Cancer Institute

How to fill out breast cancer risk assessment

How to fill out breast cancer risk assessment

1. To fill out the breast cancer risk assessment, follow these steps:
2. Start by gathering all the necessary information such as personal medical history, family history of breast cancer, and reproductive history.
3. Consult with your healthcare provider or use an online risk assessment tool to obtain the necessary questionnaire.
4. Begin answering the questions in the questionnaire, ensuring to provide accurate and detailed information.
5. Be prepared to answer questions about age, weight, race, hormone therapy usage, alcohol consumption, and previous breast biopsies, among others.
6. If you are unsure about any information, it is recommended to consult with your healthcare provider for guidance.
7. Once you have completed the questionnaire, review all your answers to ensure accuracy.
8. Submit the completed form to your healthcare provider or to the designated platform if using an online tool.
9. Follow up with your healthcare provider to discuss the results of the breast cancer risk assessment and any recommended next steps.
10. Remember, the accuracy of the assessment relies on providing truthful information, so it is important to be thorough and honest during the process.

Who needs breast cancer risk assessment?

1. Breast cancer risk assessment is recommended for:
2. - Women with a family history of breast cancer, particularly if close relatives such as mother, sister, or daughter have been diagnosed.
3. - Individuals who have previously been diagnosed with benign breast conditions.
4. - Women who have undergone chest radiation therapy before the age of 30.
5. - Those with known genetic mutations that increase the risk of breast cancer, such as BRCA1 or BRCA2.
6. - Women with a personal history of breast cancer, especially if they were diagnosed at an early age.
7. - Women with certain reproductive factors, such as early menstruation (before age 12) or late menopause (after age 55).
8. - Individuals with a high body mass index (BMI) or a history of prolonged hormone replacement therapy.
9. - Women who have never been pregnant or had their first child after the age of 30.
10. - Any individual who is concerned about their risk of developing breast cancer can also opt for a risk assessment to gain more clarity and make informed decisions.

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What is breast cancer risk assessment?

Breast cancer risk assessment is a process of evaluating a person's risk factors for developing breast cancer.

Who is required to file breast cancer risk assessment?

Medical professionals and researchers are typically required to file breast cancer risk assessments.

How to fill out breast cancer risk assessment?

Breast cancer risk assessments can be filled out by providing detailed information about personal and family medical history, lifestyle factors, and genetic testing results.

What is the purpose of breast cancer risk assessment?

The purpose of breast cancer risk assessment is to determine an individual's likelihood of developing breast cancer and to guide personalized screening and prevention strategies.

What information must be reported on breast cancer risk assessment?

Information such as age, gender, family history of cancer, genetic testing results, lifestyle factors, and medical history must be reported on breast cancer risk assessment.