Sema4 Signal Family History Questionnaire

Sema4 Signal’s Family History Questionnaire is designed to help you gather the information you need to discuss your risk for hereditary cancer with your healthcare provider. When completing this brief questionnaire, please be sure to include cancers from both your maternal (mother’s) and paternal (father’s) sides of your family. This questionnaire should only take a few minutes to complete.

The questions in this Family History Quiz are based upon guidelines used to determine which patients may be candidates for genetic testing for hereditary cancer. This is not a test, but simply a brief questionnaire to help determine your hereditary cancer risk to prepare you to talk with your healthcare provider about your personal and family history of cancer. Please bring the family history questionnaire with you on your next appointment with your provider to determine if genetic testing is appropriate for you and your family.

 

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