All Services (A to Z):

- Adult DayAway
- Advance Directives
- Anesthesia Services
- Bariatric Services
- Birth Certificate
- BirthPlace
- Bone and Joint Center
- Bone Density Testing
- Breast Center
- Cancer Services
- Cardiovascular Services
- Center for Healthy Living
- Center for Lung Disease
- Childbirth & Parent Education
- Classes
- Clinical Research
- Colorectal Services
- Day Away
- Diabetes Center
- Dialysis Center
- Donations
- Emergency Care Center
- Emergency Medical Services (EMS)
- Endoscopy Services
- Foundation
- Genetic Testing
- Gift Shop
- Giving & Volunteering
- Gynecologic Oncology
- Headache Treatment Program
- Health Encyclopedia
- Hispanic Outreach Program
- HNH Fitness Center
- Home Health Care Services
- Hospice and Palliative Care
- Interventional Institute
- Korean Medical Program
- Laboratory
- Liver Center
- Living Wills
- Lung Center
- Mammography
- Marketing & Public Relations
- Maternal-Fetal Medicine
- Medical Records
- Mobile Intensive Care Unit
- MS Center
- Neurophysiology/EEG Department
- Nutrition Services
- Occupational Health Services
- Occupational Therapy
- Orthopedics
- Pain Management
- Parent-Baby Groups
- Pastoral Care
- Patient Advocate
- Pay Your Bill
- Pediatric Services
- Perinatology
- PET/CT
- Peripheral Arterial Disease
- Physical Therapy
- Podiatry Services
- Primary Stroke Center
- Psychiatry & Behavioral Medicine
- Radiology Services
- Radiation Oncology
- Radioembolization
- Radiofrequency Ablation (RFA)
- Regional Cancer Center
- Respiratory Services
- Seniors Services
- Single Incision
- Simulation Learning
- Sleep Center
- Sniffles Club
- Smoking Cessation
- Speech Therapy
- Sports Medicine
- Stroke Center
- Surgical Services
- Uterine Fibroids
- Varicose Veins
- Villa Marie Claire Hospice
- Volunteer Services
- Women's Services




Center for Lung Disease: Personal Risk Assessment


Step 1 of 3

* Indicates required information.

Do you currently smoke or have you ever smoked?

  Cigarettes: Yes   No * Cigars: Yes   No * Pipe: Yes   No *

How many years have you smoked? *

  

If you have quit smoking, how long ago did you quit? *

  

Have you been exposed to secondhand smoke at home or at work? *

  Yes   No

Have you been exposed to asbestos, arsenic, radon, cilica, chromium, nickel or tar? *

  Yes   No


    

Please note: This risk assessment will determine if the Early Lung Cancer Screening Program is appropriate for you. If you would prefer to speak to someone please call the Center for Lung Disease at 201-833-LUNG (5864).