Karmanos Lung Cancer Screening Program

*Indicates required information

Contact Information

Health Information

Smoking Information

Has a health care provider ever told you that you have COPD or emphysema? *
Have you had a chest x-ray in the last 3 years? *
Have you had a chest CT scan in the last 3 years? *
Do you currently smoke cigarettes? (if you have never smoked, skip the next 3 questions) *