QUESTIONNAIRE

Name:

Age:

Educational qualification:

Occupation:

Income:

Marital status:

Number of children:

Age of onset of menstruation:

Menstrual flow:

a)low

b)moderate

c)high

1)Which is the commonest cancer among women?

_____________________________________

2) What is the cause of breast cancer?

a)increased age

b)sedentary life

c)genes

d)all of the above

3)Which is the breast cancer awareness month?

a) July

b) September

c) October

d) November

4) Do you think late child birth i.e. After 30 years could pose as a risk factor
for breast cancer?

a)yes

b)no

c)don’t know

5) Breast feeding is a risk factor for breast cancer?

a)yes

b)no

c)don’t know

6)Men can’t get breast caner?

a)yes

b)no

c)don’t know

7)Birth control pills can cause breast cancer?

a)yes

b)no
c)to a little extent

8) A lump in the breast is always breast cancer?

a)yes

b)no

c)don’t know

9)What could cause breast cancer?

a)flax seed

b)aspartame(artificial sweetner)

c)coffee

10)Breast cancer is contagious

a)yes

b)no

c)don’t know

11)Menstruation after the age of 50 years is a risk factor for breast cancer?

a)yes

b)no

c)don’t know

12)High fat diet is a risk factor for breast cancer?

a)yes

b)no

c)don’t know
13)Women with lumpy breasts are at a high risk for breast cancer?

a)yes

b)no

c)don’t know

14)Nipple discharge can indicate breast cancer?

a)yes

b)no

c)don’t know

15)Mastectomy indicates breast cancer can be eliminated forever

a)yes

b)no

c)don’t know

16)Mammogram prevents breast cancer

a)yes

b)no

c)don’t know

17)Underwire bras can cause breast cancer

a)yes

b)no

c)don’t know

18)Herbal remedies and dietary supplements help prevent breast cancer

a)yes

b)no

c)don’t know

19)Women who had breast cancer earlier should not become pregnant since
it reoccurs

a)yes

b)no

c)don’t know

20)Breast cancer occurs only after 40 years

a)yes

b)no

c)don’t know

21)If you have a lump in the breast what test(s) should you do for breast
cancer detection

a)blood test

b)CT scan

c)PAP smear

d)Mammogram

22)Which tumors are cancerous?

a)benign

b)malignant

c)both
23)A women who had breast cancer n one breast cannot have breast cancer
in another

a)yes

b)no

c)don’t know

24)Anti-perspirants can cause breast cancer

a)yes

b)no

c)Rare possibility

25)Women exposed to tobacco and smoke in the childhood have an

increased risk for breast cancer

a)yes

b)no

26)What is the relationship between moderate alcohol consumption and

breast cancer

a)no effect

b)can be a risk factor for breast cancer

c)can help prevent breast cancer

27)Hormone replacement therapy decreases the risk of breast cancer

a)yes

b)no
c)don’t know

28) If breast cancer spreads to the bones,is it called

a)metastatic bone cancer or

b)metastatic breast cancer

29)Abortion/miscarriages increases the risk of breast cancer

a)yes

b)no

c)don’t know

30)Women with small breasts can’t get breast cancer

a)yes

b)no

c)don’t know

THE END