Online screening questionnaire

Assess Your Risk of Gastrointestinal Cancer with Our Online Screening Questionnaire
Online Screening

What is this questionnaire?

This questionnaire is a screening tool for gastrointestinal cancer in the general population in the Romania-Serbia cross-border area.

What is a screening?

Screening means detecting the disease before serious signs of illness appear. By screening we have the chance that doctors will find the disease earlier and we have a better chance of being cured. A screening is a medical tool and its results should be discussed with a doctor..

How this screening questionnaire can help me?

This screening is useful for people who do not have signs of gastrointestinal cancer to estimate whether you are at risk of developing this type of cancer. This questionnaire allows you to assess your risk of developing gastrointestinal cancer in the future. This risk stems from your lifestyle and health. If the result of this screening questionnaire is abnormal, further tests and investigations are recommended. Answering this questionnaire does not mean that you will be diagnosed with gastrointestinal cancer..

What is gastrointestinal cancer?

The gastrointestinal tract starts from the oral cavity to the anus and includes the oesophagus, stomach, small intestine and large intestine (colon and rectum). Cancer can affect any part of the gastrointestinal tract, although it is less common in the small intestine..

How common is gastrointestinal cancer?

In Romania, colorectal cancer is responsible, along with lung cancer and breast cancer, for the most cases of cancer and ranks second in mortality after lung cancer.

The International Agency for Research on Cancer estimates through GLOBOCAN 2020 that in 2020 there will be almost 13,000 cases of colorectal cancer and 4,000 cases of gastric cancer in Romania.. (Sursa: https://gco.iarc.fr)

How this online screening questionnaire for gastrointestinal and colorectal cancer works?

For each type of cancer there are factors that can be considered protective or risk factors in the development of cancer.
Through your answers to this questionnaire, we analyse these risk factors to which you are exposed and help doctors choose the people to be investigated in more detail.

This questionnaire is based on scientific data validated in high-quality medical studies.

Even though this questionnaire is a medical tool, its results are not a clinical diagnosis but only a medical recommendation. The results of this questionnaire should be discussed and analysed with your family doctor or a specialist gastroenterologist, who can refer you for further investigations and medical tests if necessary and provide a clinical diagnosis..

A copy of your answers together with personalised medical recommendations will automatically be sent to your email address.

This questionnaire is derived from the validated QLQ-CR29 and QLQ-STO22 questionnaire developed by the European Organisation for Research and Treatment of Cancer EORTC (https://www.eortc.org). Further questions or comments on the QLQ-CR29 and QLQ-STO22 screening algorithms can be addressed to the Quality of Life specialists of the European Organisation for Research and Treatment of Cancer EORTC (https://www.eortc.org).

1. Whistance RN, Conroy T, Chie W, et al. Clinical and Psychometric Validation of the EORTC QLQ-CR29 Questionnaire Module to Assess Health-Related Quality of Life in Patients with Colorectal Cancer. Eur J Cancer 45:3017-3026, 2009.

Participation Agreement

By completing this questionnaire I agree to participate in this online screening for gastrointestinal and colorectal cancer, an activity carried out in the framework of the Interreg IPA-CBC Romania-Serbia project "Medical Infrastructure for the Development of Excellence Surgical Services in the Cross-border Area" RORS-467, funded by the European Union..

Also, by completing this questionnaire I agree to have my answers reviewed by health experts and included in the reporting of RORS-467 activities..

Data protection

The data you enter is anonymised and is not associated in any way with your identity. Your email address is used strictly to ensure the transparency of the screening activity. We will not share your email address with any third party for commercial or advertising purposes. A copy of your responses together with personalised recommendations will automatically be sent to your email address..

At this email address you will receive a copy of the recommendations generated by this questionnaire.
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Your weight is very important for your health. If you do not know the exact values, estimate based on the last values you remember.
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This information helps us to better stratify your answers about eating habits, risks and recommendations. Think about the total amount of money your family earns in a typical month. Divide this amount by how many members your family has, including children or dependants.
When was the last time you went to the doctor for a routine check-up without any acute health problem?

Unhealthy habits

Your Diet

Physical Activity

Medical History

Family History

Gastrict Cancer Screening Questionnaire

Please indicate the extent to which you have experienced the symptoms or problems described below during the past four weeks. Please respond by selecting the degree that best fits your situation.

In the last 4 (four) weeks:

Colorectal Screening Questionnaire

Please indicate the extent to which you have experienced the symptoms or problems described below during the period indicated. Please respond by selecting the degree that best fits your situation.

In the last 4 (four) weeks:

In the last 7 (seven) days:

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