Thank you for your interest in our study. The purpose of our study is to create a screening tool that will help the management and care of future breast cancer survivors.

1. The first pages that you will see is the informed consent form. Please read it carefully. You must agree to participate in the study in order to proceed.

2. Next, you will be asked a short series of questions. These questions will determine whether you are eligible to participate in the study.

Thank you again for your interest in our study. We appreciate it.