Home
About
About Us
What is Bowel Cancer?
About the Screening Test
Your Test Result
Online Assessment
FAQs
Contact Us
Home
About
About Us
What is Bowel Cancer?
About the Screening Test
Your Test Result
Online Assessment
FAQs
Contact Us
Online Assessment
Bowel screening assessment
Thank you for taking the time to answer these questions. It will provide information to allow a recommendation to be made regarding the best option for you.
Name
*
Email
Do you have a family history of bowel cancer?
Yes
No
Don't Know
1st degree relative (parent, sibling or child) under 55yrs?
Yes
No
Have you had a previous colonoscopy?
Yes
No
Were polyps found?
Yes
No
Don't Know
Do you have symptoms?
Change of bowel habits, bleeding, abdominal pain, weight loss, bloating.
Yes
No
What is your age?
35 - 60, 74+ years
60 - 74 years
Is your age?
35 - 60, 74+ years
60 - 74 years
Which is your nearest major hospital?
Waitemata
Counties
Hutt Valley
Wairarapa
Southern
Nelson/Marlborough
Hawkes Bay
Other
Do you have health insurance or are prepared to pay $1900 for a colonoscopy?
Yes
No
Have you got health insurance or are you prepared to pay $1900 for a colonoscopy?
Yes
No
WARNING The public health system may not pay for a colonoscopy. You will require this if your screening test is positive. We will still allow you to purchase the test by
Clicking Here
but you need to be aware of this risk.
We recommend a colonoscopy test for you please contact your GP to be referred to the public system.
Click here to purchase test
You are entitled to free screening through the national screening program.
We recommend you go to
www.bowelscreening.health.nz
or call 0800 924432
A colonoscopy is the recommended test for you due to it being much more accurate than a stool test. Submit this form and our team will contact you.
