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    Breast Cancer Risk Assessment

    Breast cancer is the most commonly diagnosed cancer in women, other than skin cancer. The American Cancer Society says the breast cancer death rate is going down. This is probably because of earlier detection and better treatment. This short assessment will help you find out if you have major risk factors for breast cancer. It is not a complete assessment of all risks. For a complete look at your risks, see your healthcare provider.

    African-American Asian Caucasian Hispanic Other
    lbs.
    Feet Inches
    Yes No
    Yes No
    Yes No
    Mother Daughter Sister Aunt (mother’s or father’s sister) Grandmother No family history of breast cancer.
    Yes No
    Yes No
    Yes No

    This assessment is not intended to replace the evaluation of a healthcare professional.