Breast Cancer Risk Assessment Tool

The GW Cancer Center’s Breast Cancer Risk Assessment tool is a short questionnaire that will help you learn if you have risk factors that may increase your breast cancer risk. It is not a complete review of all breast cancer risks and is not intended to replace your healthcare provider's examinations and evaluations.

Knowing and understanding your breast cancer risk is helpful when making a breast cancer screening plan.

This tool is not meant for women who have or have had breast cancer.



African American
Asian
Caucasian
Hispanic
Other 

lbs.

Feet
Inches



Yes
No 


Yes
No 

Yes
No 

Mother
Daughter
Sister
Aunt (mother’s or father’s sister)
Grandmother
No family history of breast cancer 

Yes
No 

Yes
No 

Yes
No 

Yes
No 

Yes
No 

Lobular carcinoma in situ (LCIS)
Atypical ductal hyperplasia (ADH)
Atypical lobular hyperplasia (ALH)
None of these 

Yes
No 

Yes
No 

Yes
No 

Yes
No 

This assessment is not intended to replace the evaluation of a healthcare professional.