Your answers to these questions will help us put your results into your medical record and contact you to follow up.

– MM/DD/YYYY

For the next question, please think about both your biological mother and father's side of the family. Include yourself, parents, children, brothers/sisters, aunts/uncles, nieces/nephews, and grandparents. Do not include adopted, step, or "by marriage" relatives. If you do not know your biological family's (blood relatives') history of cancer, please choose "No".

Please do not use your browser’s back button. If you think you made a mistake entering your family cancer information, please start over by pressing "Start Over" in the upper right or contact study staff for help.

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