Lung Cancer Assessment Questions

Some questions in this assessment may be personal or hard to answer. Answering these questions will help you get a more accurate idea of your risk for lung cancer. The assessment will start with some basic questions.

Have you ever been diagnosed with cancer, except for non-melanoma skin cancer?

X A common type of cancer that affects the top layer of the skin. Examples include basal cell or squamous cell carcinoma.

X Why is this important? This tool was designed for people who have never had cancer, which means the results at the end of the assessment are more accurate for people who have not had cancer. But if you have had cancer, this tool can still give you information about other risk factors for lung cancer.

Why is this important

Yes

This tool was designed for people who have never had cancer. Because you have had cancer, your risk of getting another cancer in the future is higher than someone who has not had cancer.

We hope you will do the rest of the assessment to find out what else may affect your risk of getting lung cancer. But keep in mind that the results at the end of the assessment are more accurate for people who have not had cancer.

What was the sex assigned to you at birth?

More information: Please note that the source of data used in this risk assessment is based on people who were assigned male or female at birth. Gender binary language (male, female, man, woman) may sometimes be used. If your gender differs from your sex assigned at birth, your risk assessment results may not be accurate and you should talk with your doctor or nurse practitioner about your personal risk of getting lung cancer. Please keep doing this assessment to find out more about your risk of getting lung cancer.

X Why is this important? This tool lets you know what your risk of getting lung cancer might be compared to other people who are the same sex assigned at birth. If your gender is different from your sex assigned at birth, your risk assessment results may not be accurate and you should talk with your doctor or nurse practitioner about your personal risk of getting lung cancer. Please keep doing this assessment to find out more about your risk of getting lung cancer.

Why is this important

Male

Female

How old are you?

X Why is this important? This tool lets you know what your risk of getting lung cancer might be compared to people who are the same age. The risk of lung cancer also goes up with age. For these reasons, it is important to know how old you are.

Why is this important

Has your biological parent, sibling or child ever had lung cancer?

More information: Only answer yes if you include biological family members (people related by blood) in your immediate family (for example, not your aunt, uncle, grandparents). Do not include people you are related to by adoption or marriage.

X Why is this important? Your family history may affect your risk of developing lung cancer.

Why is this important

Yes

Don't know

This section will ask you about your lifestyle, such as smoking history, because it can affect your risk of getting lung cancer.

Do you smoke cigarettes?

More information: Includes manufactured, hand-rolled, filtered, unfiltered and flavoured tobacco cigarettes.

X Why is this important? Smoking cigarettes may raise your risk of getting many kinds of cancer, including lung cancer. Cigarette smoking causes 85 per cent of new lung cancer cases.

Why is this important

Yes

I used to smoke, but I quit

Do you smoke 1 or more cigars a day?

X Why is this important? Smoking 1 cigar or more a day can raise your risk of getting lung cancer.

Why is this important

Yes

This section will ask about when and how you were exposed to air pollution, workplace chemicals and workplace processes.

Have you lived in or near a city with a population of 100,000 or more for at least 10 years of your life?

X Why is this important? Being exposed to air pollution from traffic and other sources in cities for a long time can raise your risk of getting lung cancer.

Why is this important

Yes

Have you ever worked with asbestos without proper protection, including workplace controls and protective equipment?

More information: Recommended workplace controls for people who work with asbestos include replacing asbestos with safer options, and when this is not possible, using engineering and administrative controls, such as ventilation, wetting agents, enclosures and less time in exposed work situations. Personal protective equipment should include a respirator and possibly a full protective suit, gloves and boots.

X Proper protection and exposure controls could include local exhaust ventilation, wetting techniques or wearing a respirator, depending on the type of work.

X Why is this important? People who have been exposed to asbestos in the workplace may have a higher risk of getting lung cancer than people who were never exposed.

Why is this important

Yes

Don't know

Have you worked with any of these substances without proper protection? Please choose all that apply.

More information: Recommended workplace controls for people who work with these substances include using safer substances instead, and when this is not possible, using engineering and administrative controls, such as ventilation, enclosures and reduced time in exposed work situations. Personal protective equipment should include a respirator and may include a full protective suit, face shield, gloves, boots and other eye protection.

X Why is this important? Being exposed to these substances without protection can raise your risk of getting lung cancer.

Why is this important

Diesel engine exhaust

Yes

Don't know

X People who may be exposed to diesel engine exhaust include truck, bus and taxi drivers, heavy equipment operators, couriers and landscapers.

Silica dust, crystalline silica

Yes

Don't know

X Because crystalline silica is found naturally in rocks and soil, people who may be exposed to this substance include anyone whose job involves the movement of earth (like mining and farming), the disturbance of silica-containing products (like grinding, chipping, cutting and drilling), and the handling and use of sand or other silica-containing products (like in foundry processes).

Nickel compounds

Yes

Don't know

X People who may be exposed to nickel include welders, machining tools operators, construction millwrights, industrial mechanics, dental technologists, painters and coaters.

Chromium (VI) compounds

Yes

Don't know

X People who may be exposed to chromium (VI) include welders (especially workers who commonly weld stainless steel), printing machine and press operators, machinists and pipefitters.

Arsenic and inorganic arsenic compounds

Yes

Don't know

X People who may be exposed to arsenic include anyone who works with treated wood, such as in construction, sawmills and wood preservation. People may also be exposed to arsenic if they work in farming or metal production and processing.

X-rays and gamma radiation

Yes

Don't know

X People who may be exposed to X-rays and gamma radiation include anyone whose job involves using radiography or radioactive materials. People may also be exposed to X-rays and gamma radiation if they work on an airline crew, in the nuclear power industry or in the military, or as uranium, coal or underground miners.

Cadmium and cadmium compounds

Yes

Don't know

X People who may be exposed to this substance include welders (who can be exposed during cutting, brazing, soldering, grinding and welding), plastic processing machine operators and foundry workers.

Beryllium and beryllium compounds

Yes

Don't know

X People who may be exposed to this substance include metal welders, grinders, sandblasters, machinists, dental workers and jewellers, as well as people involved in the retiring and demolition of nuclear facilities, power generating plants and aerospace facilities.

Radon

Yes

Don't know

X People who may be exposed to radon include underground miners (especially people involved in uranium mining), people who spend time below ground (subway and utility tunnel workers), people involved in mine remediation, phosphate fertilizer producers, researchers who use radon, construction excavators, and any indoor workers in a part of the world with naturally high radon levels, especially people working in basements.

Have you been involved in any of these processes on the job without proper protection, including workplace controls and protective equipment?

More information: Recommended workplace controls for workers who are involved in these processes on the job include using safer processes instead, and when this is not possible, using engineering and administrative controls, such as ventilation, enclosures and reduced time in exposed work situations. Personal protective equipment should include a respirator and may include a full protective suit, face shield, gloves, boots and other eye protection.

X Why is this important? Certain industries and jobs may expose you to substances that can raise your risk of getting lung cancer.

Why is this important

Painting

Yes

Don't know

Aluminum smelting

Yes

Don't know

Iron or steel founding

Yes

Don't know

Rubber manufacturing

Yes

Don't know

Coke ovens

Yes

Don't know

Coal gasification

Yes

Don't know

LUNG CANCER ASSESSMENT

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