Fill Out Your Health History

  • Our online questionnaire is designed to capture a snapshot of your overall health.  We want to know as much as we can about your health, from your head to your toes! 
  • Questions will be organized by body system (digestive system, immune system, cardiovascular system, etc.), and you can skip any question you don't feel comfortable answering.
  • You will be asked to update this each year or as anything changes with your health. 
  • Depending on your answers to this survey, you may be asked to complete follow-up surveys in the future if we need more information about any of your specific health issues.
    None of our health history questions are mandatory, so you can skip any that you do not want to answer.
  • In addition to health history information, we also ask a few general questions, such as how you found out about GenomeConnect.

Materials For Download