Breast Cancer Hub: Please take the survey for you, your mother, aunt or any friends or family.

I am requesting a small time commitment from you which will be of huge help for an important analysis. This analysis will be utilized to understand current scenario and building hypothesis and target segments for my newly founded non- profit organization, Breast Cancer Hub. The purpose of this organization is to connect research and awareness across the globe to make further advancements in this field. Please come and help us to stride together in the journey against Breast Cancer!! Please respond with accurate information to the best of your knowledge and please be assured, this is an anonymous survey and information will be used purely for data analysis only.
Lopamudra Das Roy, Ph.D. Founder and President
Breast Cancer Hub
LinkedIn: https://www.linkedin.com/in/lopamudra-das-roy-ph-d-19b6769/

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* 1. What is your age?

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* 2. What is your country of origin?

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* 4. What is your gender?

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* 5. Which race/ethnicity best describes you? (Please choose only one.)

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* 6. How physically healthy are you?

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* 7. How often do you exercise?

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* 8. Do you have family history of Breast cancer or other type of cancer?

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* 9. Do you have/had breast cancer or other type of cancer?

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* 10. Do you have any other medical concerns/known disease conditions?

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* 11. How concerned are you about your breast health?

0 Scale of 1-10 10
i We adjusted the number you entered based on the slider’s scale.

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* 12. Do you perform self breast exam?

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* 13. Do you go for clinical breast examination by your physician?

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* 14. Did you have a Breast mammogram?

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* 15. Did you have a Breast ultrasound or Breast MRI?

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* 16. Do you know if you have Dense breast tissue?

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* 17. Do you currently smoke cigarettes, or not?

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* 18. About how many alcoholic drinks do you have each week?

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