Domain | Â | Range of possible scores | Total |
---|---|---|---|
PERSONAL RISK | Â | Â | Â |
What happens to your skin in sun? | never tans (+6), tans with difficulty (+4), tans easily (+2), tans always (0) | 0 to 6 | Â |
Does your skin freckle? | Yes (+2) or no (0) | 0 to 2 | Â |
How many moles do you have? | None (0); less than 20 (+2); more than 20 (+4) | 0 to 4 | Â |
Do you have moles with irregular edge and colour? | Yes (+2) or no (0) | 0 to 2 | Â |
What is your natural hair colour? | black (0), brown (0), red (+2), fair (+1) | 0 to 2 | Â |
What is your ethnic origin | Caucasian (+2), Asian (0), Afro-carribean (-2), Chinese (0), Other - specify (0) | -2 to 2 | Â |
How many times have you had bad sunburn? | Never (0), once or twice (+2), three or more (+4) | 0 to 4 | -2 to 22 |
LEVEL OF CONCERN | Â | Â | Â |
Have you seen GP with a skin lesion in last 6 months? | Yes (+2) or no (0) | 0 to 2 | Â |
How likely are you to see GP with a skin lesion in next 6 months? | Very likely (+4), likely (+2), not likely, (0), very unlikely (0) | 0 to 4 | Â |
Do you check your own skin for moles? | Yes (+1) or no (0) | 0 to 1 | Â |
If yes, how often? | More than monthly (+3), monthly (+2), once or twice a year (+1) | 1 to 3 | 1 to 10 |
PROTECTIVE BEHAVIOUR | Â | Â | Â |
Do you try to get a suntan at home or on holiday? | Yes (+1) or no (0) | 0 to 1 | Â |
Do you use a sun bed or sun lamp? | Yes (+1) or no (0) | 0 to 1 | Â |
If you use a sun bed or sum lamp, how often? | Very infrequently (0), 1-3 times year (-1), monthly (-2), weekly or more (-3) | -3 to 0 | Â |
Do you protect your skin at home or on holiday? | Yes (+1) or no (0) | 0 to 1 | Â |
How many sunny foreign holidays have you had in 5 years? | None (+3), one or two (+2), three or four (+1), five or more (0) | 0 to 3 | Â |
What do you do on noticing a new mole? | Visit my GP (+2), ask partner or friend to look at (+1), ignore it (0) | 0 to 2 | Â |
How quickly should a new mole be checked? | < 1 month (+4), < 2 months (+3), <3 months (+2), eventually (+1), never (0) | 0 to 4 | -3 to12 |
MELANOMA KNOWLEDGE | Â | Â | Â |
Which of the following 12 factors increase melanoma risk? 1 | Correct (+1), don't know (0), incorrect (0) | 0 to 12 | Â |
How worried would you be if a mole? 2 | Correct (+1), don't know (0), incorrect (-1) | -3 to 6 | Â |
Can melanoma be? 3 | Correct (+1), don't know (0), incorrect (-1) | -4 to 4 | Â |
Commonest site of melanoma in men or women? 4 | Correct (+1), don't know (0), incorrect (-1) | 0 to 1 | -7 to 23 |