Hereditary Cancer Family History Questionnaire

Designed to help you assess
your risk of hereditary cancer

Based on widely accepted
current clinical guidelines*

Should only take a few
minutes to complete

 

This questionnaire is designed for the most common types of hereditary cancer and not appropriate for the assessment of rare syndromes. Please include cancers from both your biological maternal (mother’s) and paternal (father’s) sides of your family, when completing the answers. We recommend discussing your results with a healthcare provider.

 

 

 

By using the Questionnaire, you agree to be bound by the following terms.


Brought to you by Sema4:
A patient-centered health intelligence company dedicated
to advancing healthcare through data-driven insights.

1.

What is your biologic sex?*

*Biologic sex is typically assigned at birth, determined by reproductive organs and possibly genetic makeup. Certain cancers are limited to the reproductive organs an individual is born with. For example, certain cancers are limited to the uterus and ovaries, whereas other cancers are limited to the prostate.


 

 

Do you have any questions?

Kindly fill out the form below and someone from our team will promptly follow-up with you.
 



*Created August 2020

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Sema4 Signal Family History Questionnaire Terms of Service

Sema4 provides this questionnaire and results for informational purposes only, and not for any clinical purpose. Your results are based upon information you provide, and you are responsible for the accuracy of that information. Consult with your physician before making any treatment decision or taking any action based on the results. This questionnaire is designed for the most common types of hereditary cancer and not appropriate for the assessment of rare syndromes. Sema4 makes no representation that your questionnaire results reflect an accurate assessment of your risk for hereditary cancer.

Please see our Sema4 Website Terms of Use for more information: sema4.com/terms