What was your sex at birth?
What is your gender identity?
How old are you?
What is your ethnic group?
Is there a history of breast cancer in your close family, e.g. parent, sibling, grand-parent, child?
Are you postmenopausal - have your periods stopped for at least 12 months?
Have you ever had breast cancer?
Have you ever thought you may have breast cancer, for example noticed a lump, or rash, or seen your doctor about breast cancer?
Do you regularly check your breasts?
Have you ever attended a breast screen appointment (mammogram)?
How much alcohol do you drink?
What is your Body Mass Index (BMI)?
Use this calculator to check your BMI and find out if you're a healthy weight.
How much fruit and veg do you eat a day?
How often do you eat processed meat (e.g. bacon, salami, sausages)?
How often do you eat red meat?
Do you do at least two and a half hours a week of moderate activity, such as brisk walking or gardening? Or at least an hour and a quarter of vigorous activity, such as running or cycling each week?
Are you aware that some everyday cosmetics, cleaning and other everyday products contain chemicals that may be linked with breast cancer?
Do you ever check the ingredients of cosmetics, hair care or other beauty products or household items and consider what packaging is made of?
Do you smoke?
Are you currently using contraceptive pills, patches or implants?
Are you currently using, or have you ever used, Hormone Replacement Therapy (HRT)?
Are you pregnant or thinking of having children?
Are you regularly exposed through your work, for example, as a mechanic or painter, to organic solvents, such as benzene or ethylene glycol?
Do you live in a city or large town?
What is your postcode?
(This is to help assess risk factors by place)
Do you spend time outside in sunlight all year round?