Oncology test | NostraBiome

Activate a NostraBiome
Oncology Microbiome Test Kit

Having non-oncological or different kit type?

Go to intestinal kit activation

Go to oral test kit activation

Activating your Test Kit consists of 3 equally important steps. Please provide your personal information and the required details about the Test Kit. Additionally, complete our questionnaire to help us offer a highly customized health analysis for you.

Step 1: Personal Information

Patient's Full Name

Patient's Biological Gender

Patient's Date of Birth

Patient's, patient's legal representative's, or doctor's email address:

Patient's, patient's legal representative's, or doctor's phone number:

Step 2: Test Kit and Sample Details

Test Kit's Barcode & Picture

Insert the number below the bar code of the kit tube.

Your Clinic name or ID given by NostraBiome

In case you are not from a clinic use R0000

Step 3: Profiling Questionnaire

This questionnaire collects profiling data on your disease and signs onset and it is regulated by all the terms and conditions presented on www.nostrabiome.com. By filling it you agree and accept the data processing policy present on this website.

1. What's the patient's current weight in KG?

2. What's the patient’s current height in CM?

3. Weight status:

4. Patient's oncological diagnosis:

Please summarize the oncological issues of this patient.

5. Oncological disease history (onset, initial symptoms, period since disease onset, recurrence/progression, previous treatments, etc.):

6. Other diagnoses/comorbidities of the patient (e.g. cardiac conditions, respiratory issues, surgeries, etc.):

7. Allergies (if the patient has no known allergies, write “Unknown”):

8. Family medical history (grandparents, parents, siblings, son/daughter):

9. What is the patient’s current treatment (oncological and non-oncological)?

10. Has the patient used antibiotics in the past 2 months?

11. If antibiotics were used in the past 2 months, specify the name - active ingredient (if not, write "Not used"):

12. Before the disease onset, did the patient use probiotics?

13. The patient currently using any of the following probiotics (if not, write "Not using"):

14. How was the patient delivered?

15. The patient was breastfed until the age of:

16. The patient was fed with:

17. The patient's performance status is:

0 - The patient is fully active; able to carry out all activities performed prior to illness.

1 - The patient has some restrictions in performing demanding physical activities but is mobile and able to do light and sedentary work (e.g., office work).

2 - The patient is mobile and able to care for themselves but is unable to work; spends less than 50% of their time confined to a chair or bed.

3 - The patient is partially able to care for themselves; spends more than 50% of their time confined to a chair or bed.

4 - The patient is completely unable to care for themselves; is fully confined to a chair or bed.

18. What symptoms does the patient have?

19. If the patient has symptoms other than those listed in the previous question, please list them below:

20. What is the consistency of the patient’s stools?

21. If the patient reports hard stool consistency, the frequency of their stools is:

More than 2 stools per week

2 stools per week

1 stool per week

Less than 1 stool per week

22. Select one or more of the following associated symptoms if the patient has experienced constipation in the last 3 months:

You may select multiple options.

Reduced stool frequency (<3 stools per week)

Straining during defecation >25% of the time

Hard stool consistency (like pellets or fecaloma) in >25% of defecations

Incomplete evacuation and sensation of anorectal blockage in >25% of defecations

Manual maneuvers used to stimulate the defecation process in >25% of defecations (digital evacuation, pelvic floor support)

23. If the patient reports diarrhea, their stools are:

Fewer than 4 diarrheal stools per day (or a slight increase in output observed on the colostomy)

Between 4 and 6 stools per day (or a moderate increase in output observed on the colostomy or with limited daily physical activity)

More than 7 stools per day (or a severe increase in output observed on the colostomy or with limited self-care activities)

Hospitalization required due to uncontrollable diarrhea at home

24. What is the patient's daily water intake?

25. Please specify the source of water consumed by the patient:

You may select multiple options.

Well water

Tap water

Bottled water (plastic PET bottle)

Bottled water (glass bottle)

26. Before the illness onset, please describe in detail the patient’s dietary habits. What did they eat, and what did a typical week of daily meals look like?

27. How many times per week does the patient consume fruits?

28. How many times per week does the patient consume vegetables?

29. How many times per week does the patient consume meat?

30. How many times per week does the patient consume dairy products?

31. How many times per week does the patient consume nuts, cashews, almonds, peanuts, and/or seeds?

32. How often does the patient consume sweets?

33. How often does the patient consume commercially available juices (carbonated and/or non-carbonated)?

34. How often does the patient consume natural juices or smoothies?

35. How often does the patient eat fast food?

36. Does the patient consume alcoholic beverages?

37. Is the patient a smoker?

38. If the patient is an active smoker or a former smoker, please specify the following:

At what age did they start smoking? How many cigarettes do they smoke per day? For how many years did they smoke? For how long has the patient not smoked?

39. Does the patient present any newly appeared or intensified pre-existing skin manifestations (e.g. redness, swelling, itching, rashes, acne, blisters, discoloration like vitiligo)? You may select multiple options.

40. If the patient presents any other skin manifestations not listed in the previous question, please describe them below:

41. Has the patient experienced joint manifestations (e.g. joint pain or stiffness)?

42. Has the patient experienced respiratory manifestations (cough, difficulty breathing, etc.)?

43. Has the patient experienced fever, chills, or flu-like symptoms in the past week?

44. Does the patient present any newly appeared or worsened pre-existing mental health issues or cognitive manifestations?

45. If the patient has other mental health issues or cognitive manifestations not listed in the previous question, please describe them below:

46. Evaluate the current stress level of the patient:

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Activate a NostraBiome Oncology Microbiome Test Kit