Oral Cancer Screening Online Risk Assessment

1. Please select your age category: under 18 18 - 39 40 or older

2. Have you used any form of tobacco within the last 10 years?

Yes No

3. Do you consume more than one alcoholic beverage* per day?

Yes No

4. Have you previously been diagnosed with oral cancer?

Yes No

* One alcoholic beverage is equal to 3 ounces of hard liquor, 4 ounces of wine, or 12 ounces of beer.