1. Are you a woman older than age 50?
   Yes    No
2. Are you currently taking or just stopped hormone replacement therapy with estrogen alone - without added progestin - to control menopausal symptoms, to prevent osteoporosis or to reduce your risk of heart disease or stroke?
   Yes    No
3. Are you overweight?
   Yes    No
4. Do you have a personal history of colon cancer, rectal cancer or breast cancer?
   Yes    No
5. Are you currently taking the drug tamoxifen for the prevention or treatment of breast cancer?
   Yes    No
6. Have you ever been diagnosed with endometrial hyperplasia, a benign condition of the lining of the uterus?
   Yes    No
7. Are you Caucasian?
   Yes    No
8. Did you begin menopause at a late age (after age 59)?
   Yes    No
9. Do you have diabetes?
   Yes    No
10. Do you have polycystic ovarian syndrome (PCOS)?
    Yes    No

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