Lung Cancer Health Risk Assessment

This risk assessment will only take a minute of your time and the results can help in identifying and catching lung cancer early. After answering all of the questions below, submitting the form will immediately direct you to your results and next steps.

Are you between the ages of 50 and 80?*

Yes

Do you have a history of smoking?*

Yes

Have you smoked the equivalent of 20 pack years?*

Yes

*Multiply the number of packs smoked a day by the number of years smoked.

Are you a current smoker or quit within the last 15 years?*

Yes

First Name*

Last Name*

Address 1*

City*

State*

Zip or Postal Code*

Country*

Email Address*