Sunteți pe pagina 1din 11

MelanomaEducation

Pleaseonlycompletethissurveyifyouparticipateorparticipatedinanoutdoorathleticsport
(fallseasonorspringseason)atRiverHillHighSchool.Thefollowingsurveywilltestyour
currentknowledgebaseonMelanomaandpreventionbehaviors/attitudes.Yourresponsestothe
followingwillremainanonymousandthereforehonestandaccurateresponsesaregreatly
appreciated.Yourresponsestothefollowingquestionswillberecordedandyouridentitywill
remainanonymous.Pleaseanswerthefollowingquestionsashonestlyaspossibleandtothe
bestofyourability.
*Required

1.Whatisyourgrade?*
Markonlyoneoval.
9th
10th
11th
12th
2.Whatisyourgender?*
Markonlyoneoval.
Male
Female
Other
3.Howwouldyoudescribeyourethnicbackground?*
Markonlyoneoval.
Caucasian
AfricanAmerican
Asian
NativeAmerican
LatinAmerican/Hispanic
Other:
4.Inwhatoutdoorsportdoyouparticipate?*

Knowledge/Attitude/Behavior
ThefollowingwilltestyourknowledgebaseonMelanoma,attitudestowardsprotectivebehaviors
andattitudes.Yourresponseswillberecordedandyouridentitywillremainanonymous.Please

answerthefollowingquestionsashonestlyaspossibleandtothebestofyourability.Thank
you.
5.Greenhousegasestrapsolarradiation,theheatfromthesun,intotheearths
atmosphere.*
Markonlyoneoval.
Yes
No
Idon'tknow
6.Duringthesummer,onatypicaldayontheweekendordayoff,howmanyhoursare
yououtsidebetween11a.m.and4p.m.?*
Markonlyoneoval.
Lessthan30minutes(includesnotimeinthesun)
1hourtolessthan2hours
2hourstolessthan3hours
3hourstolessthan4hours
4hourstolessthan5hours
5hours
7.Asunburnisdefinedasareddeningordiscomfortofyourskinthatlastslongerthan
12hoursafterexposuretothesun.Duringthispastsummer,howmanysunburns
haveyouhad?*
Markonlyoneoval.
None
One
Two
Threeormore
IDontKnow

8.Forthefollowingquestions,thinkaboutwhatyoudowhenyouareoutsideduringthe
summeronasunnydayfor30minutesormorebetween11a.m.and4p.m.*
Markonlyoneovalperrow.
Always

Often Sometimes

Rarely

Howoftendoyouseekshade?
Howoftendoyouwearahatthat
shadesyourface,ears,and
neck?(DoesNOTinclude
baseballcaps)
Howoftendoyouwearclothingto
protectyourskinfromthesun,
suchasalongsleeveshirt,long
pantsoratshirt?
Howoftendoyouwearsunscreen
withanSPFof15orhigher?
Howoftendoyouwear
sunglasses?
9.Foreachofthefollowingstatements,pleaseindicateifyoustronglyagree,somewhat
agree,somewhatdisagree,orstronglydisagree.*
Markonlyoneovalperrow.
Strongly
Agree
IlookbetterwhenIhavea
tan.
Havingatanmakesa
personlookhealthier.
Peoplewhotanare
damagingtheirskin.
Tanningcausespremature
skinaging.

Somewhat
Agree

Somewhat
Disagree

Strongly
Disagree

10.Forthefollowing,indicateonaveragehowoftenyoucompletethesetasks.*
Markonlyoneovalperrow.
Lessthan50%ofthe
time

Morethan50%ofthe
time

Howoftendoyouattemptto
avoidthesunbetweenthehours
of10a.m.to4p.m.inorderto
reducesundamageexcluding
practice/competitions?
Howoftendoesyoursport
practice/competeoutsideduring
thehoursof10a.m.to4p.m.?
Howoftendoyouattemptto
coverupwithtightlywoven
clothesandhatstoavoidthesun
excludingpractice/competitions?
Howoftendoyouseeadoctorto
havehe/shecheckyourskinfor
potentialcancerousspotsor
moles?
Howoftendoyouregularlyuse
sunscreenwhenexposedtothe
sunduring
practices/competitions?
Howoftendoyouusethe
equivalentofashotglassof
sunscreeneachtimeyouapplyit
beforepractice/competitions?
Howoftendoyoureapply
sunscreeneverythreehours
wheninthesunduring
practice/competitions?
Howoftendoyoureapply
sunscreenafterbeinginthe
water?
Howoftendoyouusea
sunscreenwithaSPFof15or
higher?
11.Pollutionfromfactoriesisoneofthecausesofozonedepletionintheatmosphere.*
Markonlyoneoval.
Yes
No
Idon'tknow

12.Youcanprotectyourselvesfromskincancer,by...*
Checkallthatapply.
Avoidingsunburns
Beingcoveredwithclothes
Applyingasunscreen
Wearingahat
Wearingsunglasses
Avoidinglongexposuretothesun
Idontknow
13.Thegreenhouseeffectisprimarilytheresultofhumanactivity.*
Markonlyoneoval.
Yes
No
Idon'tknow
14.Whatfactorsraisetheriskofskindamageduetosunlight?(Selectallthatapply)*
Checkallthatapply.
UnprotectedSUnbathing
FairComplexion
PriorSunburninchildhood
Manyskinmoles
Useofantibiotics
Sex(m/f)
Highconsumptionofsugar
Highconsumptionofcoffee
Obesity
15.Holesintheozonewillincreasethegreenhouseeffect.*
Markonlyoneoval.
Yes
No
Idon'tknow

16.Asunscreenprovidesmoreprotectionwhentheprotectionfactoris...*
Markonlyoneoval.
High
Average
Low
Ithasnothingtodo
Idon'tknow
17.Onecauseofozonedestructionisduetocaremissions(exhausts)intheatmosphere.
*
Markonlyoneoval.
Yes
No
Idon'tknow
18.Duringwhathoursoftheday,shouldsunexposurebeavoided?*
Markonlyoneoval.
8:0010:00a.m.
10:00a.m.4:00p.m.(Noon)
4:00p.m.6:00p.m.(Afternoon)
6:00p.m.9:00p.m.
Idon'tknow

19.Foreachofthefollowingstatements,pleaseindicateifyoustronglyagree,somewhat
agree,somewhatdisagree,orstronglydisagree.*
Markonlyoneovalperrow.
Strongly
Agree

Somewhat
Agree

Somewhat
Disagree

Strongly
Disagree

Theuseofsunscreenwill
helptoprotectmefrom
gettingmelanoma
Examinationsbya
dermatologisthelpto
detecttheearlystagesof
melanoma
Selfchecksformelanoma
helptodetecttheearly
signsofmelanoma
Publicawarenessabout
melanomaisimportantto
reducerisk
Onlyfairskinnedpeople
needtobeworriedabout
sunexposure
Allpeopleshouldtake
precautionsagainstthe
damagingeffectsofthe
sun
20.Canusinganumbrellaandstayingintheshadeprotectfromsunradiation?*
Markonlyoneoval.
Yes
No
Idon'tknow
21.Ozonefiltersoutultraviolet(UV)light.*
Markonlyoneoval.
Yes
No
Idon'tknow
22.Sunreflectionfromthesandandtheseacanbedangerousforinflictingskin
problems.*
Markonlyoneoval.
Yes
No
Idon'tknow

23.Issunasdangerousinthewinterasitisinthesummer?*
Markonlyoneoval.
Yes
No
Idon'tknow
24.Howmuchdoyouagreeordisagreewiththefollowingstatements?Wouldyousay
youstronglyagree,somewhatagree,somewhatdisagree,orstronglydisagree?*
Markonlyoneovalperrow.
Strongly
Agree

Somewhat
Agree

Somewhat
Disagree

Strongly
Disagree

I'mnotworriedabout
gettingskincancer.
Ilookbetterwithatan.
IlookthinnerwhenIhave
atan.
Iammoreattractedto
peoplewhoaretanthanto
peoplewhoarenot.
Igetsunburnedatleast
onceeveryyear.
Icanspendmoretimein
thesunifIwear
sunscreen.
Clothingandsunscreen
providethesamelevelsof
protection.
25.Forthefollowingquestion,selectyesiftheitemlistedisariskfactorthatwould
increasethelikelihoodofapersontofordevelopskincancerornoifyoubelievethe
itemisnotariskfactor.*
Markonlyoneovalperrow.
Yes
Havingdarkcoloredskin?
Thenumberortypeofmoleson
thebody?
Havingdarkcoloredskin?
Havingblackordarkbrownhair
Havingredorblondehair
Havingfreckles?
OverexposuretothesunorUV
radiationwhenachild?
Afamilyhistoryofskincancer?
Individualsthatworkorspend
mostoftheirtimeoutdoors?

No

26.Ifthegreenhouseeffectincreases,theaveragetemperaturewillrise.*
Markonlyoneoval.
Yes
No
Idon'tknow
27.Ifyoudid,ofwhatprotectionfactor?*
Markonlyoneoval.
<15
1520
2030
3040
>40
28.Ifyoueverexperiencedasunburn,howwouldyoudescribeit?*
Markonlyoneoval.
Slightlyredskin,painless
Painfulblisters
Painfulblistersfullwithliquid
Idonotremember
29.Ifyoueverexperiencedasunburn,onwhatpartofyourbodydiditoccur?*
Markonlyoneoval.
Back
Face
Arms
Legs
Torso/Chest
30.Doyouusesunscreenespeciallyforfaceprotection?*
Markonlyoneoval.
Never
FewTimes
Sometimes
SeveralTimes
Always

31.Ifyouusesunscreen,youdoiturgedby...*
Markonlyoneoval.
MybestfriendMyschoolmatesMyfamilyMyprofessorsMydoctorTVmagazines
other
Myschoolmate
Myfamily
Myprofessors
Mydoctor
T.V.
Magazines
Other
32.ThegreenhouseeffectisessentialforlifeontheEarth.
Markonlyoneoval.
Yes
No
Idon'tknow
33.Whatkindofdamagescansunradiationinflict?*
Checkallthatapply.
Allergies
Agingoftheskin
Skincancer
Morebodyhair
Blindness
Anemia
34.Ifthegreenhouseeffectincreases,morepeoplewillgetskincancer.*
Markonlyoneoval.
Yes
No
Idon'tknow
35.Reducednumberofozoneparticlesintheatmospherewillincreasethegreenhouse
warmingeffect.*
Markonlyoneoval.
Yes
No
Idon'tknow

36.Chlorofluorocarbons(CFCs)causeozonedestructionintheatmosphere.*
Markonlyoneoval.
Yes
No
Idon'tknow
37.Onecauseofozonedepletionistheincreasedgreenhouseeffect.*
Markonlyoneoval.
Yes
No
Idon'tknow
38.Ozonecanbepresentatgroundlevel.*
Markonlyoneoval.
Yes
No
Idon'tknow

Thankyouforyourtimeandeffort.Yourresponseshave
beenrecorded.

Poweredby

S-ar putea să vă placă și