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Instructions

AGE

SEX

POSSIBLETESTING/RECOMMENDTESTING/RECEIVEDTESTING

Q4

CANCER

CANCERTYPE

DIAGNOSIS

ADOPT

YNMOM/YNDAD

YNSISTER

YNHSISTER

YNBROTHER

YNHBROTHER

YNDAUGHTER

YNSON

YNGRANDP

YNGRANDC

YNUNCLE

YNAUNT

YNCOUSIN

SONSAGE

DAUGHTERSAGE

COUNSELING

COUNSATISFIED

FLEARN

DECISONCONFLICT

DECISION

DECISION2

BRCATEST

TESTRESULTBR

BRCARESULT

LYNCHTEST

TESTRESULTLYNCH

LYNCHRESULT

FINFORM

SATISFAC

RECEIVEFAX/RECEIVEVM/RECEIVEHOM/RECEIVEEM/RECEIVELET/RECEIVETEXT/
RECEIVEWEB

IMPROVERESULT

MATERIAL

PROVMAT

SHAREMAT

PROVIDERRESOURCESFORFAMRISK

RESOURCESFORFAMRISK

RESOURCEHELPFUL

OTHERINFO_O

OTHERINFO

Q37

Q38

ENOUGHINFO

DESIRETODISCUSSGENTESTRESULTS

SHARERESULTSMOTHER/SHARERESULTSFATHER/SHARERESULTSSISTER/SHARE
DRESULTSHSISTER/SHARERESULTSBROTHER/SHAREDRESULTSHBROTHER

SHARERESULTSDAUGHTER/SHARERESULTSSON/SHARERESULTSAUNTUNCLE/SH
ARERESULTSCOUSIN/SHAREDRESULTSOTH

SHAREDATE

FINFORMEDVIATEXT/FINFORMEDVIAEMAIL/FINFORMEDVIAPHONE/FINFORMED
VIAPERSON/FINFORMEDGRAPEVINE/FINFORMEDVIAOTHER

MINFORMEDVIATEXT/MINFORMEDVIAEMAIL/MINFORMEDVIAPHONE/MINFORME
DVIAPERSON/MINFORMEDGRAPEVINE/MINFORMEDVIAOTHER

WHYSHARE

TIMEEFFORT/FRUSTRATED/QUALITY/DIFFUND

NOCONTACT/NOTIME/NOCLEAR/NOTCLOSE/NOTCARE/NOTUPSET/NOTATRISK/W
HATTOSAY/DIFFCOPING/TOOYOUNG/NOTALKOTH

RELATIVESCOUNSELING1-4

Q49

RELATIVESUNDERGONETESTING1-4

RELATIVESTESTINGRESULT1-4

Q52

Q53

Q54

AFFECTHEALTH

THINKEXP

TALKEXP

MARITALSTATUS

ORIENTATION

IDENTITY

HEALTHINSUR

INSURTYPE

EDUCATION

HISPLATINOSPAN

HISPLATINOSPANGROUP

RACE

OCCUPATIONALSTATUS/OTHEROCCUPATION

HOUSEHOLDINCOME

Q70

INCENTX

CLOSING SCREEN