Risk Assessment
Find My Report
Cancer Assessment
Name
*
Gender
*
Age
*
Email
*
Mobile Number
*
+91
Height (cm)
Weight (kg)
Do you have any past history of cancer?
Has any of your blood relatives had cancer?
Do you consume alcohol?
Do you smoke?
Do you have the habit of chewing tobacco?
Have you ever been diagnosed with Cirrhosis, Hepatitis, Inflammatory Bowel Disease, H Pylori Infection?
At work have you been exposed constantly to asbestos, arsenic, diesel exhaust, silica, chromium?
Do you have a history of ulcers (stomach ulcers, skin ulcers, mouth ulcers)?
Do you have any difficulty in urination?
Do you have any of the seven warning signals for breast cancer?
Age at menarche?
How many times have you been pregnant?
What was your age when you had your first child and last child?
First Child
Second Child
Third Child
Fourth Child
Have you used Birth Control Pills?
What was your first age of sexual activity?
Have you had multiple sexual partners?
Have you attained menopause?
Age at menopause?
Are you on hormone replacement therapy?
Have you ever been diagnosed with endometriosis?
Are you often exposed to the sun?
Ensure that your mobile number, email ID, and all other details are accurate, as we will send the report to your WhatsApp Number and email.
Check My Risk
