do you have a mother/daughter/sister with breast cancer? number of sisters/ daughters/ or mother...

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Page 1: Do you have a mother/daughter/sister with Breast cancer? Number of sisters/ daughters/ or mother with Breast cancer? Number of previous breast biopsies? Did biopsy have atypical
Page 2: Do you have a mother/daughter/sister with Breast cancer? Number of sisters/ daughters/ or mother with Breast cancer? Number of previous breast biopsies? Did biopsy have atypical