NAG.040
Please think about your MOST RECENT genetic test for cancer risk.
Which kinds of cancer was it for: (READ EACH CANCER TYPE LISTED BELOW)
NAG.040
Breast?
GT_BRE
(1) Yes
(2) No
(3) Male, not applicable
(7) Refused
(9) Don't know
NAG.041
Ovarian?
GT_OVA
(1) Yes
(2) No
(3) Male, not applicable
(7) Refused
(9) Don't know
NAG.042
Colon or rectal?
GT_COL
(1) Yes
(2) No
(7) Refused
(9) Don't know
NAG.043
Another cancer?
GT_OTH
(1) Yes (NAG.044)
(2) No (NAG.050)
(7) Refused (NAG.050)
(9) Don't know (NAG.050)
NAG.044
FR: SPECIFY OTHER TEST FOR GENETIC RISK OF CANCER:
GTRSKOTH Other Specify: ______________________________________