PC Symptoms
Lower Urinary Tract Symptoms (LUTS), Pain and Discomfort
PC Symptoms
Have you experienced any symptoms related to urination that have been frequent or bothersome in the last six months, such as difficulty starting to urinate, a weak stream, urgency, or needing to urinate frequently, especially at night?
PC Symptoms
Have you experienced any pain or discomfort related to prostate health, such as painful ejaculation, blood in urine or semen, or persistent pain in the back, hips, or thighs?
1 out of 6 Medical History
Have you had any of the following medical tests, procedures, or diagnoses related to prostate health? Please select all that apply.
Medical History
Previous Prostate Conditions.
PSA,Medical History
PSA (Prostate-Specific Antigen) Test Results
Medical History
Digital Rectal Exam (DRE) Results
Biopsy,Medical History
Prostate Biopsy
Medical History
Prostate Ultrasound or MRI
2 out of 6 Genetic Mutation
Have you or any of your family members been diagnosed with the following genetic mutations?
Family History
Has your father or brother been diagnosed with prostate cancer?
Family History
Have any of your male relatives beyond your immediate family (uncles, grandfathers, cousins) been diagnosed with prostate cancer?
Family History
Have any of your relatives been diagnosed with cancers related to hereditary cancer syndromes that include prostate cancer (e.g., BRCA1/2 mutations, Lynch syndrome)?
3 out of 6 Chemical Exposure
Have you worked in an industry known for high exposure to chemicals (e.g., agriculture, painting, manufacturing, or chemical industries)?
Chemical Exposure
Do you live in an area with known high levels of industrial pollution or use of agricultural chemicals?
Chemical Exposure
Do you frequently use products or engage in activities that involve exposure to chemicals (e.g., heavy use of pesticides in gardening, use of solvents in hobbies)?
4 out of 6 Geography
Which region best describes your primary residence?
Diet
Which of the following best describes your regular diet?
Physical Activity
How would you describe your overall level of physical activity in a typical week?
5 out of 6 Race and Ethnicity
Please select the racial or ethnic group that best represents you
Stress
How would you describe your average stress level and sleep quality over the past year?
Hormonal Balance
Have you experienced symptoms that may indicate a hormonal imbalance? Symptoms can include fatigue, mood swings, weight gain, or changes in libido
6 out of 6