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OmniCare
Cancer Screening for Life
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Your Biological Sex
Your Age
Your Weight in Kilograms(kg)
Your Ethnicity
Your Location
Your Height in Centimeters(cm)
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Have any of your close family members been diagnosed with any of the following cancers (indicate all)?
Lung Cancer
Gastrointestinal Cancer
Liver Cancer
Cervical Cancer
Breast Cancer
Bowel Cancer
Prostate Cancer
Thyroid Cancer
Skin Cancer
Do you have any chonic diseases?
Cardiovascular
Lung
Diabetes
Gastrointestinal
Liver
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Years of smoking history (put "0" if no smoking history)
Packs of cigaratte per day (put "0" if not smoking history)
Have you lived with a smoker for more than half of your life?
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Does your work environment or past medical treatments involves excessive exposure to radiation?
In an average week, how many alcoholic drinks do you have?
Does you diet involve high sodium intake/broiling and salting/excessive saturated fat?
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Do you take oral contraceptives or have hormone replacement therapy for more than five years during menopause
Have you had sex life?
Do you have short term sex partners?
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Have you worked on any of the following workplaces?
Have you ever worked with asbestos without proper protection including workplace controls and protective equipment?
Have you worked on any of the following workplaces?
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