Cancer screening (breast and cervical)
Q1. A mammogram is an x-ray taken of the breasts by a machine that presses against the breast while the picture is taken. It is a means of detecting breast cancer in the early stages. Have you ever had a mammogram?
1. Yes
2. No → Q6
X Don't know → Q6
R Refused → Q6
Q2. When did you last have a mammogram?
1. Less than one year ago
2. 1 year to less than 2 years ago
3. 2 years to less than 3 years ago
4. 3 years to less than 4 years ago
5. 4 years to less than 5 years ago
6. 5 or more years ago
X Don't know
R Refused
Q3. Can you tell me all the reasons why you had your last mammogram? [MULTIPLE RESPONSE]
1. Breast problem (lump, discharge, pain)
2. Family history
3. Had breast cancer in the past
4. Regular check up
5. Due for screening mammogram
6. Doctor recommended it
7. An invitation from the BreastScreen or Breast Screening and Assessment Unit
8. Publicity about breast cancer and screening
9. Urged by a friend or relative to go
10. Other [SPECIFY]
X Don't know
R Refused
Q4. Do you have mammograms regularly?
1. Yes
2. No → Q6
X Don't know → Q6
R Refused → Q6
Q5. What is the usual time period between your mammograms?
1. ______ number of years
2. Only had one
X Don't know
R Refused
Q6. A Pap test is a routine test carried out by a doctor. It is recommended for all women for early detection of cancer of the cervix. Have you ever had a Pap test?
1. Yes
2. No → Q10
X Don't know → Q10
R Refused → Q10
Q7. When did you last have a Pap test?
1. Less than one year ago
2. 1 year to less than 2 years ago
3. 2 years to less than 3 years ago
4. 3 years to less than 4 years ago
5. 4 years to less than 5 years ago
6. 5 or more years ago
X Don't know
R Refused
Q8. Do you have a Pap test regularly?
1. Yes
2. No → Q10
X Don't know → Q10
R Refused → Q10
Q9. What is the usual time period between your Pap tests?
1. Only had one Pap test
2. Less than one year ago
3. ______ number of years
X Don't know
R Refused
Q10. Have you ever had a hysterectomy?
1. Yes
2. No
X Don't know
R Refused
| Source: | New South Wales Population Health Survey 2006 (HOIST). Centre for Epidemiology and Research, NSW Department of Health. |
| Print version: | Although this page can be printed directly from your web browser, a higher quality version is available as a PDF file that can be printed or viewed on screen. |
| Produced by: | Centre for Epidemiology and Research, Population Health Division, NSW Department of Health. |
| Last updated on: | 1 July 2007 |
