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Genetic history questionnaire

Does your history call for a genetic look?

Answer questions about your health and your family's. At the end, you will see which areas deserve attention, based on criteria geneticists use to recommend an evaluation.

  • About 4 minutes
  • Instant result, no sign-up
  • Your answers are not stored
Start the questionnaire

This questionnaire offers guidance, but it is not a diagnosis and does not replace a medical appointment. It shows whether talking to a geneticist is worthwhile, without confirming or ruling out a predisposition.

About you How old are you?
About you What is your biological sex?

Some questions depend on sex, such as those about ovarian or prostate cancer.

About you How much do you know about your blood family's health?

Blood family: parents, siblings, children, grandparents, aunts, uncles and cousins. It does not include relatives by marriage.

Cancer Have you ever had cancer?

Do not count basal cell or squamous cell skin cancer, the most common types.

Cancer Which type or types of cancer did you have?

Select all that apply.

Answer if the previous question applies to you.

Cancer How old were you at your first cancer diagnosis?

Answer if the previous question applies to you.

Cancer Does any of these apply to you?

Answer if the previous question applies to you.

Cancer Have your colonoscopies found 10 or more polyps in total, adding up all exams?
Cancer Has any blood relative ever had cancer?

Think of parents, siblings, children, grandparents, aunts, uncles, nieces, nephews and cousins.

Answer if the previous question applies to you.

Cancer Which types of cancer have occurred in your family?

Select all that apply.

Answer if the previous question applies to you.

Cancer Was any of these cancers in a close relative?

Close relatives: father, mother, siblings, children, grandparents, grandchildren, aunts, uncles, nieces and nephews.

Answer if the previous question applies to you.

Cancer Was any of these cancers diagnosed before age 50?

Answer if the previous question applies to you.

Cancer How many relatives on the same side of the family had cancer?

Count only your mother's relatives or only your father's, and answer for the side with more cases.

Answer if the previous question applies to you.

Cancer Has any of these happened in your family?

Answer if the previous question applies to you.

Cancer Do you have Ashkenazi Jewish ancestry?

Jewish people with roots in Central and Eastern Europe. In this population, some variants in the BRCA1 and BRCA2 genes are more common.

Heart and circulation Has any of these ever happened to you?

Select all that apply.

Heart and circulation In your blood family, has any of these happened?

Select all that apply.

Answer if the previous question applies to you.

Brain and metabolism In your blood family, does anyone have any of these diagnoses?

Select all that apply.

Answer if the previous question applies to you.

Brain and metabolism Does any of these apply to you or to close relatives?
Medications Do you take, or might you take, any of these medicines?

For these medicines, international guidelines use genetic results to help choose the drug or the dose.

Medications Have you or a relative ever had a severe reaction during anesthesia, or a severe, unexpected reaction to a medicine?

For example: very high fever and muscle rigidity during surgery.

Family and family planning Does any of these apply to you or your family?

Select all that apply.

Family and family planning About having children, does any of these apply to you?

Select all that apply.

Your answers are used only to calculate the result and are not stored, unless you ask us to contact you at the end.