I am conducting an experiment for school to determine whether there is a relationship between breast feeding and breast cancer. This short survey has been put together to analyze. All answers are strictly confidential and will be used for analysis purposes only. Please please please help me out, I am having a lot of trouble finding willing participants. Thanks.
1.How old are you?
a.29 or younger
b.30-34
c.35-39
d.40-44
e.45-49
f.50 or older
2.How many children do you have?
a.1
b.2
c.3
d.4
e.5 or more
3.Did you breast feed any of your children?
a.Yes
b.No (if no, please move on to question 6)
4.If yes, how many of your children have you breast fed?
a.1
b.2
c.3
d.4
e.5
f.All
g.Other (please specify)
5.On average how many years total have you breast fed?
a.1
b.2
c.3
d.4
e.5
f.Other (please specify)
6.If you did not breast feed, did you use any type of medication to stop milk production?
a.yes
b.no
7.Is there any history of breast cancer in your family?
a.yes
b.no
8.Is there any history of benign (non-cancerous) breast tumors in your family?
a.yes
b.no
9.Did you, or do have breast cancer or any benign (non-cancerous) breast tumors?
a.yes (breast cancer)
b.yes (benign tumors)
c.no (did not have either)