Prolong feeling of sadness, loss of interests, angry outbursts, tiredness, sleep disturbances, anxiety, loss of appetite, slowed thinking, feeling of worthlessness, frequent/reoccurring of suicidal thoughts, unexplained physical problems and having a hard time thinking. [These are just a few symptoms]
The statement is once a year for women over 40 as they're more likely to develop breast cancer. Also it's once a year for all women over 18 with a family history of breast cancer as it is very rare to develop breast cancer as a child.