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Nor-Cal Think Pink Breast Cancer Awareness Survey 2015

Page One

1. Is this your first "Think Pink" bag? *This question is required.
4. Sex: *This question is required.
5. How often do you perform self breast exams? *This question is required.
6. Have you had your annual mammogram this year? *This question is required.
7. Did you get an annual mammogram last year? *This question is required.
8. If you did not have a mammogram last year please indicate the reason why (check all that apply).
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