Question

Do you have a close relative who has had any of the following cancers?

(Please check all that apply)

(Close relatives include: parent, sibling, child, uncle, aunt, great uncle, great aunt, nephew, niece, grandparent, grandchild, or half-sibling.)

Next

(Close relatives include: parent, sibling, child, uncle, aunt, great uncle, great aunt, nephew, niece, grandparent, grandchild, or half-sibling.)