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Colon Cancer Risk Assessment
Your Colon Health
Have you ever had colorectal cancer screening?
*
No
Yes, within last 10 years
Yes, more than 10 years ago
Was your last stool test for blood within the last year?
Yes
No
Never had this test
Was your last flexible sigmoidoscopy within the last 5 years?
Yes
No
Never had this procedure
Have you ever been diagnosed with colorectal cancer? If so, what age were you?
*
No
Yes, < 50 years old
Yes, 50 - 60 years old
Yes, > 60 years old
Have you ever been diagnosed with colorectal precancerous polyps? If so, were you under 60 when diagnosed?
*
No
Yes, I was over 60
Yes, I was under 60
Yes, but don't know