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* Which gender are you?
Male Female
 
 

How old are you?
16-24 25-40 41-60 60+
 
 
Please rate the following factors that affect the chance of getting melanoma:
Reduced risk of getting melanoma No effect either way Increased risk of getting melanoma Don't know
keeping your skin tanned
having lots of freckles
Smoking
high level of daily local sunshine
keeping covered up in the sun
sunburn in childhood
high level of physical fitness
Regular sunbed use
Regular Use of Fake Tan
having a large, exposed birth mark
Reduced risk of getting melanoma No effect either way Increased risk of getting melanoma Don't know
being male
high use of moisturising skin creams
living near overhead powerlines
avoiding 11AM-3PM summer sunshine
high fat diet
Having Pale Skin
 

reduced risk of getting melanoma no effect either way increased risk of getting melanoma don't know
having sunburn after the age of 20
using a sunblock cream in hot weather
staying out of the sun
having an 'all year tan'
having hospital x-rays
working in an office
working outdoors
taking foreign holidays each year
being exposed to asbestos
living near a power station
having lots of moles on your skin
being female
 
 

Do you perceive having a tan as:
 
being healthy
 
looking good
 
a health risk
 
skin damage

 
 
which of the following best describes your skin type?
I : White in colour, always burns, never tans
II : White in colour, usually burns, tans with difficulty
III : White in colour, Sometimes burns, tans easily
IV : Moderate brown in colour, Rarely burns, tans very easily
V : Dark brown in colour, very rarely burns, most often tans
VI : Black in colour, never burns, always tans
 
 

Do you enjoy sunbathing in particularly good weather
Yes No
 
 

Which of the following best describes your use of sunsscreen creams when in the sun
 
always apply a high factor sunscreen, reapplying often even after tanning
 
usually apply a sunscreen cream, and reapply occasionally
 
use a sunscreen until tanned
 
don't use sunscreen
 
 

Do you use sunbeds?
yes no
 
 
 
If yes, what are your main periods (eg winter) and reasons (eg looks healthier) for using sunbeds
   
 
 

What is your average household earnings per annum (please feel free to omit this question)
£<15K ($<28K) £15K-25K ($28K-$46K) £25K-50K ($46K-$92K) £>50K ($>92K)
 
 

Have you, a friend or any member of your family ever been diagnosed with skin cancer?
Yes No
 
 
 
Finally, what is your country of residence?
   
 
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