Colon Cancer

Risk Assessment


Estimate Your Risk


Cleveland Clinic's colon cancer risk assessment will take less than 5 minutes to complete.

You will go through a series of questions about your lifestyle, personal and family history of colon polyps and colon cancer. The more information you provide about your personal and family history of colon polyps and cancer the better we can determine your risk.

After completing the assessment, you will receive your colon cancer risk score and personalized screening recommendations to know what to do next. We strongly recommend you discuss these findings and screening recommendations with your primary care physician.

If you are experiencing any symptoms of colon cancer, contact your physician immediately.

 

This medical information is provided for educational purposes and should not be relied upon as medical advice. It has not been designed to replace a physician’s independent judgment about the appropriateness or risk of a procedure for a given patient.

The questionnaire will be stored in a confidential, password protected database within the Digestive Disease Surgical Institute. There are safeguards to protect patient identifiers from improper use or disclosure. Your name and any identifying information will not be used in any research publication or presentation.

While participation in the database may not benefit you directly, it will help the Cleveland Clinic improve health care for future patients through ongoing research.

Your completion of this questionnaire is completely voluntary and your choice of whether or not to complete the questionnaire will have no effect on the care you receive today or in the future. You can discontinue your participation at any time. In addition, you can ask anytime to have your information removed from the research database.

If you have any questions please contact cancerrisks@ccf.org or 216-445-5016

 
 

Get Started




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We value your privacy.

Questions About You


Male
Female



  pounds

  feet
  inches
 
10% Completed

Lifestyle



< 3
3 - 5
> 5



Yes
No


< 30
30-60
> 60
 
20% Completed

Your Colon Health




Yes
No



Yes
No


Yes
No

 
30% Completed

Family History




Yes
No
Don't Know
 
40% Completed

Family History: Parents




Yes
No
Don't Know


Yes
No
Don't Know


Yes
No
Don't Know


Yes
No
Don't Know

 
40% Completed

Family History: Grandparents




Yes
No
Don't Know

 
50% Completed

Family History: Siblings & Children




Yes
No
Don't Know


Yes
No
Don't Know

Yes
No
Don't Know

Yes
No
Don't Know

 
60% Completed

Family History: Grandchildren




Yes
No
Don't Know

 
70% Completed

Family History: Aunts or Uncles




Yes
No
Don't Know
 
80% Completed

Family History: Nieces or Nephews




Yes
No
Don't Know

 
90% Completed

Family History: Half Siblings




Yes
No
Don't Know


 
100% Completed

Congratulation, you have reached the end of the assessment!