Study questionnaire to assess skin cancer risk, skin cancer awarenessprotective behaviourin golfers

ABOUT YOU
Gender / Male Female
Age
Previous history of skin cancer / NO YES – Melanoma
Non-melanoma
Family history of skin cancer / NO YES
How often do you play golf / MORE THAN WEEKLY; WEEKLY,
LESS THAN MONTHLY
Golf handicap
If you use sunscreen what SPF do you use / <15 15-30 30-50 >50
If you do not use sunscreen do any of following affect you? / GREASY FEEL; APPEARANCE; STAIN CLOTHES; INCONVENIENCE; OTHER
Do you use a hat / NO YES (Baseball or floppy hat)
Occupation / INDOOR OUTDOOR MIXED
RISK
In the sun do you? / NEVER TAN; TAN WITH DIFFICULTY; TAN EASILY; TAN ALWAYS
Does your skin freckle? / YES NO
How many moles do you have? / NONE; LESS THAN 20; MORE THAN 20
Do you have moles with irregular edge/colour? / YES; NO
What is your natural hair colour? / BLACK; BROWN; RED; FAIR
What is your ethnic origin? / CAUCASIAN; ASIAN; AFRO-CARRIBEAN; CHINESE; OTHER
How often have you had bad sunburn? / NEVER; ONCE OR TWICE; THREE OR MORE TIMES
AWARENESS
Have you see GP with skin lesion in last 6 months? / YES; NO
Probability of seeing GP with skin lesion in next 6 months? / VERY LIKELY; LIKELY; NOT LIKELY; VERY UNLIKELY
Do you check your own skin for moles? / YES; NO
If yes, how often? / MORE THAN MONTHLY; MONTHLY; 1 - 2 TIMES A YEAR
PROTECTIVE BEHAVIOUR
Do you try to get suntan at home or on holiday? / YES; NO
Do you use sunbeds? / YES; NO
If yes, how often? / LESS THAN ONCE A YEAR; ONCE A YEAR; 1-3 TIMES A YEAR; MONTHLY; WEEKLY OR MORE
Do you protect your skin golfing or on holiday? / YES; NO
How many sunny foreign holidays have you had in last five years? / NONE; 1 OR 2; 3 OR 4; 5 OR MORE
What would you do on noticing a new mole? / VISIT MY GP; ASK PARTNER OR FRIEND TO LOOK; IGNORE IT
How quickly should a new mole be checked? / WITHIN 1 MONTH; WITHIN 2 MONTHS; WITHIN 3 MONTHS; EVENTUALLY; NEVER
MELANOMA KNOWLEDGE
Which of the following factors increase melanoma risk?
(please put tick over any correct answers) / having lots of moles / a particular diet / fair complexion
alcohol / sunburn / prolonged sun exposure
smoking / blue eyes / green eyes
red hair / fair hair / dark hair
Would you worry if a mole became?
(please put tick over any correct answers) / irregular in shape
irregular in colour
grew in size
Can melanoma be?
(please put tick over any correct answers) / completely prevented
heal without treatment
be cured if treated early
lead to death if not treated
Commonest site of melanoma in men or women?
(please put tick over any correct answers) / Face
Back
Leg
Other (specify)
Don't know