This free survey is powered by
QUESTIONPRO.COM
Create a Survey
Surveys
2004
January
U
Untitled
Untitled
0%
*
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
Smoking
having a large, exposed birth mark
Having Pale Skin
Regular sunbed use
avoiding 11AM-3PM summer sunshine
high level of daily local sunshine
Regular Use of Fake Tan
living near overhead powerlines
being male
sunburn in childhood
Reduced risk of getting melanoma
No effect either way
Increased risk of getting melanoma
Don't know
high level of physical fitness
having lots of freckles
high fat diet
keeping your skin tanned
high use of moisturising skin creams
keeping covered up in the sun
reduced risk of getting melanoma
no effect either way
increased risk of getting melanoma
don't know
working outdoors
having an 'all year tan'
having sunburn after the age of 20
being female
having hospital x-rays
having lots of moles on your skin
using a sunblock cream in hot weather
taking foreign holidays each year
working in an office
being exposed to asbestos
staying out of the sun
living near a power station
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?
Please contact
[email protected]
or
click here
if you have any questions regarding this survey.
Loading...
close
Loading...
Close
staticapp1.questionpro.net