Cervical 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 estimate of your risk for cervical cancer. We will start with some basic questions.

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 female at birth. Gender binary language (male, female, man, woman) may sometimes be used. If your gender is different from your sex assigned at birth, your risk assessment results may not be accurate for you and you should talk with your doctor or nurse practitioner about your personal risk of cervical cancer. Please continue to fill out this assessment to learn about possible risk factors for cervical cancer.

X Why is this important? Cervical cancer only affects people who have a cervix, a body part that connects the uterus (womb) to the vagina (genital opening). If your gender is different from your sex assigned at birth, your risk assessment results may not be accurate for you and you should talk with your doctor or nurse practitioner about your personal risk of cervical cancer. Please continue to fill out this assessment to learn about possible risk factors for cervical cancer.

Why is this important

Male

Female

This assessment is designed for people who were assigned female at birth. Only people who have a cervix, which is a body part that connects the uterus (womb) to the vagina (genital opening) can get cervical cancer. If your gender is different from your sex assigned at birth, the results at the end may not be accurate for you and you should talk with your doctor or nurse practitioner about your personal risk of cervical cancer. Please continue to fill out this assessment to learn about possible risk factors for cervical cancer.

How old are you?

X Why is this important? This tool estimates your risk of developing cervical cancer compared to people who are the same age. The risk of cervical cancer also increases with age. For these reasons, it is important to know how old you are.

Why is this important

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. If you have had cancer, this tool can still tell you about other risk factors, but keep in mind that the results at the end are more accurate for people who have never had cancer.

Why is this important

Yes

This tool was designed for people who have never had cancer. Because you have had cancer before, your risk of getting another cancer in the future is higher than someone who has not been previously diagnosed. We hope you will continue with the remaining questions to learn how other factors may affect your risk of developing cervical cancer. But keep in mind that the results at the end are more accurate for people who have never had cancer.

Do you still have a cervix or part of your cervix?

More information: Some hysterectomies (total hysterectomies) remove the entire cervix, while other hysterectomies (partial or sub-total hysterectomies) do not remove the entire cervix. To find out if you still have a cervix or a part of your cervix, ask your family doctor or nurse practitioner to look at the report from your hysterectomy. If this report is not available, your family doctor or nurse practitioner may need to examine you to find out if you still have a cervix.

X A part of the body that connects the uterus (womb) to the vagina (genital opening).

X Why is this important? Cervical cancer develops in the cervix. If you still have a cervix or a part of your cervix, you may be at risk for developing cervical cancer.

Why is this important

Yes

Don't know

If you still have your cervix or part of your cervix you may still be at risk for developing cervical cancer. Please answer the rest of the questions to see how other risk factors may affect your risk of developing cervical cancer.

If you have had a total hysterectomy (your uterus and all of your cervix were removed), you cannot get cervical cancer and do not need to do this assessment. But some people who have had their cervix removed may still need more testing. Talk to your doctor or nurse practitioner to find out if you need more testing.

If you still have your cervix or part of your cervix, or if you are not sure whether you have a cervix, you may still be at risk for developing cervical cancer. Please answer the rest of the questions to see how other risk factors may affect your risk of developing cervical cancer.

Here we will ask you about other risk factors, such as smoking history, because they can affect your risk of developing cervical 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 developing many kinds of cancer, including cervical cancer.

Why is this important

Yes

I used to smoke, but I quit

This section asks about childbirth, sexual contact and types of birth control. If you are doing the risk assessment for someone else, please be aware that some questions are very personal.

How many sexual partners have you had in your life?

More information: A sexual partner is any person you have had sexual contact with. Sexual contact includes any time another person has had contact with your genitals (private parts) with their hands, mouth or genitals.

X Why is this important? Your chance of getting human papillomavirus (HPV), the virus that can sometimes cause cervical cancer, starts as soon as you have your first sexual contact and increases with every new sexual partner.

Why is this important

2-5

6 or more

How many times have you given birth?

More information:

Having more than 1 baby at a time, such as delivering twins or triplets, counts as giving birth once.

Include both vaginal and Cesarean/C-section births.

X Why is this important? Some studies suggest that people who have given birth may have a higher risk of developing cervical cancer.

Why is this important

Never

Once

Twice

3 or more times

Have you ever had a sexually transmitted infection (STI) (also known as a sexually transmitted disease or STD)? Examples include genital herpes, chlamydia and HIV/AIDS.

X The herpes simplex virus type 2 (HSV-2) is the virus that most commonly causes genital herpes. It usually appears as painful sores that keep coming back on and around the genitals.

X Chlamydia is a bacterial infection that can cause sterility.

X The human immunodeficiency virus (HIV) is the virus that causes acquired immunodeficiency syndrome (AIDS). HIV attacks the immune system, resulting in an ongoing illness.

X Why is this important? Some studies suggest that having a human papillomavirus (HPV) infection at the same time as STIs, such as genital herpes and chlamydia, may increase the risk of having a persistent HPV infection (an HPV infection that does not go away). Having STIs, such as HIV/AIDS, may also affect the immune system and make it harder for the body to get rid of an HPV infection. HPV infections will usually go away on their own, but if they do not, they can cause changes in the cells of the cervix that can turn into cancer if not treated.

Why is this important

Yes

Don’t know

Here we will ask you about human papillomavirus (HPV) infection, cervical screening status and whether you have had the HPV vaccine. These risk factors can affect your risk of developing cervical cancer.

Have you ever been told after getting a cervical screening test that you have a type of human papillomavirus (HPV) that can sometimes cause cervical cancer?

X A test that checks for types of HPV that can sometimes cause cervical cancer.

X HPV is a virus that is most often passed from one person to another through sexual contact. Sexual contact includes any time another person has contact with your genitals (private parts) with their hands, mouth or genitals.

X Why is this important? HPV is a virus that can cause cell changes in the cervix. These changes can turn into cervical cancer over time if they are not treated. The cervical screening test checks for types of HPV that can sometimes cause cervical cancer.

Why is this important

Yes

Don't know

Are you up to date with your cervical screening?

More information:

For most people, being up to date with cervical screening means having a cervical screening test in the last 5 years or a Pap test in the last 3 years. A cervical screening test checks for types of HPV that can sometimes cause cervical cancer. A Pap test is a test done by a doctor or nurse practitioner to look for abnormal cell changes in the cervix that could eventually turn into cancer.

People who have a weakened immune system (e.g., people living with HIV/AIDS or who have had an organ transplant) are considered up to date with cervical screening if they have had a cervical screening test in the last 3 years or a Pap test in the last year.

X Cervical screening can find types of HPV that can sometimes cause cervical cancer. It also checks for cell changes in the cervix caused by these types of HPV before there are any symptoms. These cell changes can be treated before they can cause cervical cancer.

X Why is this important? Regular cervical screening helps find abnormal changes in the cells of the cervix that can be treated before they turn into cancer.

Why is this important

Yes

Don't know

Have you been vaccinated against HPV (that is, been given Gardasil® or Cervarix®)?

X Vaccinations are usually given as a needle or "shot," and protect you from diseases by boosting your body’s immune system.

X Why is this important? HPV vaccination is one of the best ways to lower the risk of getting HPV and cervical cancer in people who have a cervix, which is a body part that connects the uterus (womb) to the vagina (genital opening).

Why is this important

Yes

Don’t know

CERVICAL CANCER ASSESSMENT

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