This test will help ascertain your risk to cervical cancer. By taking this test, you are helping protect more women as these information will assist us in organising future programs to create more awareness on cervical cancer.

Age: *
Gender: *	Female Male
Race: *	Chinese Malay Indian Others:
Profession: *	Accounting Architecture/Interior Design Banking Government Office Human Resources Marketing Medicine (Doctor/Nurse) Retail Sales Teacher/Professor Others Others, specify:
How much do you know about cervical cancer? Answer the following questions to determine your knowledge about the disease and your risk to it.
Section A – Cervical Cancer Knowledge
1. Do you know what is the main causes of cervical cancer?
A. I don’t know	B. Hereditary	C. Virus
2. Are younger or older women more at risk?
A. Older women	B. Younger women	C. Both
3. Do you know what is cervical dysplasia?
A. No, I don’t really care.	B. I may have come across it somewhere	C. It is the abnormal growth of cells on the surface of the cervix
4. What should you / women do if there is an abnormal Pap test result?
A. Ignore it; it's probably wrong	B. Keep taking the test until it shows normal	C. Speak to your doctor and find out more
5. What are the ways you / women can take to prevent cervical cancer?
A. Pap test	B. Vaccination	C. Pap test and vaccination