Print your questions and bring them with you to your appointment. Click on the box to check each question you want to print.
The notebook is a place to jot down questions and thoughts to bring to your visit with the risk assessment team.
After you type in your question, click "add to my list".
We suggest you print this list and bring it with you to your visit at Fox Chase
The Health History Questionnaire, or "HHQ" for short, is the main tool for cancer risk assessment. The HHQ collects your family history and medical information. It's very important to complete the HHQ before your visit so that the Risk Assessment Team has all the facts they need to assess your risk.
The HHQ is divided into sections to find out if you have specific risk factors for cancer. The sections are:
This is a very important part of the HHQ. In this section, you need to gather information about your family members who had cancer including:
The information is needed for your closest relatives: your parents, brothers and sisters, children, aunts and uncles and grandparents. Knowing your family history of cancer helps to find out whether the cancer in your family looks like an inherited pattern. That is why we ask you to try to get as much information as possible about your family history before you come for your visit.
This section has questions about your own health. There are questions about your past and current medical conditions and things in your environment such as tobacco, alcohol and other exposures that influence cancer risk. There is also a section on diet and exercise.
Call family members who may be able to help with missing information and explain why you are asking these types of questions. Offer to call back if the person needs time. Ask if someone else in the family may know some of the information. You may not be able to get complete information. Understand that sometimes family members might prefer not to talk about the family history. That is okay and we will work with any information that you have.
You might not be able to remember when you had your last colonoscopy or the year grandmom was born. Give your best estimate if you don't know exact dates. For example, if you think someone was about 75 when he was diagnosed with cancer, write in and circle "75". If you don't have an estimate, just write in a question mark (?). If you are completing the HHQ online, you will check the "estimate" box if you are not sure of a date or age.
It may help to have your medical records handy when you begin. This will help with dates of your recent screening tests, as well as any reports from biopsies you may have had.