Initial Intake Survey Question Title * 1. Do you identify as Asian/Native Hawaiian/Other Pacific Islander? Yes No Other/Mixed Question Title * 2. What is your ethnicity? Question Title * 3. What is your geographical location (zip/postal code)? Question Title * 4. What is your gender? Question Title * 5. What is the highest education level you obtained? Did not finish high school High school diploma or GED Some college Vocational/trade degree Associate’s degree (2-year degree) Bachelor’s degree (4-year degree) Graduate degree (MD, Masters, JD, PhD, etc.) Other (please specify) Question Title * 6. What generation immigrant are you? Question Title * 7. What country were you born in? Question Title * 8. For how many years have you lived in the USA? Question Title * 9. Are you proficient enough in English to complete an interview on this topic? Yes No Other. Please clarify here: Question Title * 10. If you selected “no” or “other,” what language would you need an interpreter for, if needed? We will find one for you! Question Title * 11. What category best describes your total yearly household income before taxes (include employment, welfare, investments, everything)? Less than $5,000 $5,000 - $9,999 $10,000 - $14,999 $15,000 - $19,999 $20,000 - $29,999 $30,000 - $39,999 $40,000 - $49,999 $50,000 - $59,999 $60-000 - $74,999 $75,000 - $99,999 $100,000 - $124,999 $125,000 - $149,999 $150,000 or more Question Title * 12. Were you diagnosed with hereditary breast and ovarian cancer through genetic testing (ex: BRCA1, BRCA2)? Yes No Other. Please clarify: Question Title * 13. How old are you right now? Question Title * 14. Are there any other access needs that I can help you meet during the interview (ex: speak loudly in interviews, etc.)? No Yes. Indicate here: Question Title * 15. Please sign this consent form to indicate that you understand and agree to participate in the study: https://drive.google.com/file/d/1q8eMEAj1Fgaee3PbUuuutBcKofVutUL1/view?usp=sharing Please click on the link above and download the form. After signing it, please upload it here: PDF, DOC, DOCX, PNG, JPG, JPEG, GIF file types only. Choose File Choose File No file chosen Remove File Please click on the link above and download the form. After signing it, please upload it here: Question Title * 16. Please provide your name, phone number, and email for contacting to schedule an interview: Name Phone Number Email Question Title * 17. Indicate your general availabilities (these will be further discussed when scheduling the interview): Done