Questions CYG2 Step 1 of 20 5% What are your pronouns?Select all that apply. He / Him She / Her They / Them Write your answer Write in your own pronounsType your pronouns…Why are we asking? Your pronouns will be printed on your guide. When you give the guide to your doctor, it helps them know which pronouns to use. Save answer How old are you? Under 21 21 – 29 30 – 39 40 – 49 50 – 64 65+ Why are we asking? Some items in your guide will be based on your age. Save new answer Next, we’ll ask you some questions about your body. These “organ inventory” questions help us personalize your guide. You can skip any question you do not want to answer. Organ InventoryBreastsSelect all that apply to your body. Developed at puberty Developed with hormones Constructed with surgery Removed Not sure Write your own answer breast noteAdd a note about this body part…Does not apply to me Does not apply to me Why are we asking? Everyone with breasts may need regular mammograms to check for breast cancer. If breasts are removed, a person may still need to check for chest cancer. Your answer to this question helps us personalize your guide. Save new answer Organ InventoryVaginaSelect all that apply to your body. Present at birth Constructed with surgery Removed Not sure Write your own answer vagina noteAdd a note about this body part…Does not apply to me Does not apply to me Why are we asking? Everyone with a vagina may need regular Pap tests to check for cervical cancer. Your answer to this question helps us personalize your guide. Save new answer Organ InventoryPenisSelect all that apply to your body. Present at birth Constructed with surgery Removed Not sure Write your own answer penis noteAdd a note about this body part…Does not apply to me Does not apply to me Why are we asking? The penis can be added or removed during gender affirming surgery. Your answer to this question helps us personalize your guide. Save new answer Organ InventoryTesticlesSelect all that apply to your body. Present at birth Constructed with surgery Removed Not sure Write your own answer testicles noteAdd a note about this body part…Does not apply to me Does not apply to me Why are we asking? The testicles can be added or removed during gender affirming surgery. Your answer to this question helps us personalize your guide. Save new answer Organ InventoryOvariesSelect all that apply to your body. Present at birth Removed Not sure Write your own answer ovaries noteAdd a note about this body part…Does not apply to me Does not apply to me Why are we asking? Ovaries can be removed during gender affirming surgery. Some people choose to keep one or both ovaries during gender affirming surgery. Your answer to this question helps us personalize your guide. Save new answer Organ InventoryUterusSelect all that apply to your body. Present at birth Removed Not sure Write your own answer uterus noteAdd a note about this body part…Does not apply to me Does not apply to me Why are we asking? The uterus can be removed during gender affirming surgery. The cervix may also be removed. Your answer to this question helps us personalize your guide. Save new answer Organ InventoryCervixSelect all that apply to your body. Present at birth Removed Not sure Write your own answer cervix noteAdd a note about this body part…Does not apply to me Does not apply to me Why are we asking? Everyone who has a cervix may need regular pap tests. The cervix is located at the lower end of the uterus. It can be removed during gender affirming surgery. Your answer to this question helps us personalize your guide. Save new answer Organ InventoryProstateSelect all that apply to your body. Present at birth Not sure Write your own answer prostate noteAdd a note about this body part…Does not apply to me Does not apply to me Why are we asking? Anyone assigned male at birth has a prostate. It is inside the body, just below the bladder. The prostate is not removed during gender affirming surgery. Everyone who has a prostate should ask their doctor about prostate cancer. Your answer to this question helps us personalize your guide. Save new answer What sex were you assigned at birth?On your original birth certificate. Male Female Don’t know Write in your answer birth noteAdd a note about sex assigned at birth…Why are we asking? Your answer to this question helps us make a guide that’s right for you. For example: Everyone who was assigned male at birth will need to ask their doctor about prostate cancer screening. Save new answer What race or ethnicity best describes you?Click below to expand options White White NoteAdd more details…Hispanic, Latino, or Spanish Hispanic, Latino, or Spanish Hispanic, Latino, or Spanish NoteAdd more details…Black or African American Black or African American Black or African American NoteAdd more details…Asian Asian Asian NoteAdd more details…American Indian or Alaska Native American Indian or Alaska Native American Indian or Alaska Native NoteAdd more details…Middle Eastern or North African Middle Eastern or North African Middle Eastern or North African NoteAdd more details…Pacific Islander Pacific Islander Native Hawaiian or other Pacific Islander NoteAdd more details…Write in your answer for race and enthnicity Write in your answer Write in your answer for race and enthnicity noteAdd more details…Why are we asking? Race and ethnicity can affect certain types of cancer risk. Save new answer Have any family members had cancer? Yes No Don’t know Which family members? My Mother My Father My Sister My Brother My Daughter My Son Someone else Family Member NoteWhich other family member?Why are we asking? Family history can affect your risk of certain types of cancer. Save new answer Did you get the HPV vaccine?It is a series of 2 or 3 shots. Yes No Don’t Know How many shots did you get? 1 2 3 Why are we asking? The HPV vaccine can reduce your risk of certain cancers. Save new answer What is your gender?Select all that apply. Woman Man Genderqueer Nonbinary Transgender Trans Man Trans Woman Two Spirit Questioning or Unsure Write your answer Gender NoteType in your gender…Why are we asking? Your answer will be printed on your guide. When you give the guide to your doctor, it helps them know the correct words for your gender identity. Save new answer What is your sexual orientation?Select all that apply. Asexual Bisexual Gay Heterosexual / Straight Lesbian Same-gender loving Pansexual Queer Questioning or unsure Write your answer sexual orientation noteType in your sexual orientationWhy are we asking? Your answer will be printed on your guide. When your doctor knows your sexual orientation, they can give you more helpful medical information. Save new answer What is your name?Write in your chosen name…Why are we asking? Your chosen name will be printed on your guide. If you share the guide with your doctor, it helps them know what name to use when speaking with you. Save new answer Please review your answers. Show my answers What are your pronouns? {:5.1} {:5.2} {:5.3} {:58} How old are you? {:4} Breasts {:61.1} {:61.2} {:61.3} {:61.4} {:61.5} {:75} {:73.1} Vagina {:13.1} {:13.2} {:13.3} {:13.4} {:100} {:84.1} Penis {:21.1} {:21.2} {:21.3} {:21.4} {:88} {:89.1} Testicles {:22.1} {:22.2} {:22.3} {:22.4} {:94} {:93.1} Ovaries {:23.1} {:23.2} {:23.3} {:98} {:97.1} Uterus {:24.1} {:24.2} {:24.3} {:103} {:102.1} Cervix {:25.1} {:25.2} {:25.3} {:107} {:106.1} Prostate {:26.1} {:26.2} {:111} {:110.1} What sex were you assigned at birth? {:113} What race or ethnicity best describes you? {:115.1} {:117} {:118.1} {:120} {:121.1} {:123} {:125.1} {:126} {:127.1} {:129} {:130.1} {:132} {:133.1} {:135} {:137} Have any family members had cancer? {:41.1} {:41.2} {:41.3} {:41.4} {:41.5} {:41.6} {:138.1} Did you get the HPV vaccine? Which words best describe your current gender? {:47.1} {:47.2} {:47.3} {:47.4} {:47.5} {:47.6} {:47.7} {:47.8} {:47.9} {:139} What is your sexual orientation? {:51.1} {:51.2} {:51.3} {:51.4} {:51.5} {:51.6} {:51.7} {:51.8} {:51.9} {:140} What is your name? {:148} Your Email(Required)Email your guide to yourself. Why are we asking? We will send your guide to you to by email.We do not send your guide to your doctor for you.We cannot save your answers for later.We do not save your email address. Exit without your guide