Get Breast Cancer Risk Survey (gail Model)

The Breast Cancer Risk Survey, commonly known as the Gail Model, is an important tool for assessing breast cancer risk. This guide provides a step-by-step process to help users accurately complete the survey online.

Follow the steps to fill out the Breast Cancer Risk Survey effectively.

1. Press the ‘Get Form’ button to access the questionnaire and open it for completion.
2. Enter today’s date in the designated field to provide context for your responses.
3. Indicate whether you have ever been diagnosed with breast cancer by selecting 'Yes' or 'No'.
4. Input your current age in the specified area.
5. Provide the age at which you experienced your first menstrual cycle.
6. State the age you were when your first child was born in the appropriate field.
7. Indicate how many of your sisters, daughters, or mother have been diagnosed with breast cancer.
8. Respond to whether you have ever had a breast biopsy by selecting 'Yes', 'No', or 'Unknown'.
9. Select 'Yes', 'No', or 'Unknown' regarding whether the biopsy showed a precancerous condition such as atypical hyperplasia.
10. Indicate if the biopsy showed lobular carcinoma in situ (LCIS) by selecting 'Yes', 'No', or 'Unknown'.
11. Select if the biopsy indicated ductal carcinoma in situ (DCIS) with options 'Yes', 'No', or 'Unknown'.
12. Choose your race from the options provided: White, Black, Asian, Hispanic, or Native American.
13. Fill in your name and date of birth in the designated fields.
14. Review your responses for accuracy, then save your changes, download, print, or share the completed form as needed.

Complete the Breast Cancer Risk Survey online to better understand your personal risk factors.