Total Ages Total Ages (Indicate half (Indicate half siblings) siblings) How many How many sisters do you brothers do have? you have? How many How many daughters do sons do you you have? have? How many How many maternal maternal aunts do you uncles do you have? have? How many How many paternal aunts paternal do you have? uncles do you have? Do you have any questions or concerns for the genetic counselor?
Total (Indicate half siblings) Ages Total (Indicate half siblings) Ages How many sisters do you have? How many brothers do you have? How many daughters do you have? How many sons do you have? How many maternal aunts do you have? How many maternal uncles do you have? How many paternal aunts do you have? How many paternal uncles do you have? Do you have any questions or concerns for the genetic counselor?
HCRPQuestionnaire%20IRB%20Approved%202012.docx