Select one
answer for each of the statements below that best reflects your situation. Please keep in mind that
this is a general assessment. Further and more
in-depth assessment may be obtained from your health care provider.
Are you age 50 or older?
Risk for colorectal cancer increases with age. 90% of
people diagnosed are 50 years old or older. |
|
Do you have a personal
history of colon/rectal polyps or cancer?
Having colorectal problems in the past puts you at risk
for the future as well. |
|
Do you have a family history of colon/rectal polyps or
cancer?
A family history of colorectal problems can mean that
you are likely to develop them yourself. |
|
Has a doctor ever told you that you
have inflammatory bowel disease, ulcerative colitis or
Crohn's?
Having an inflamed bowel over an extended period of time
may put you at greater risk for the disease. |
|
Have you ever had breast, uterine or
ovarian cancer?
Having these other cancers increases your risk for
colorectal cancer as well. |
|
Are you of Jewish descent?
Those with a Jewish ethnic background are at increased
risk. |
|
Is your diet high in fat?
A diet that contains mostly foods that are high in fat
increases your risk. |
|
Do you consume more than one alcoholic
beverage per day?
Colorectal cancer has been linked with heavy alcohol
use. |
|
Are you overweight?
If you are very overweight, your risk of dying from
colorectal cancer is increased. |
|
Would you describe the amount of daily
exercise you get as minimal or none?
Physical activity helps remove waste from the colon,
decreasing the risk of colorectal cancer. |
|
Have you ever smoked?
Some of the cancer causing substances can be swallowed
and cause colorectal cancer. |
|
| Have you ever been screened for
colorectal cancer? |
|
