___ |
|
Hair color
Blond/red = 4; Brown = 3; Black = 1
|
___ |
|
Eye color
Blue/green = 4; Hazel = 3; Brown = 2
|
___ |
|
When exposed to one hour of summer sun, you...
Burn, and sometimes blister = 4;
Burn, then tan = 3; Tan = 1
|
___ |
|
Do you have freckles?
Many = 5; Some = 3; None = 1
|
___ |
|
Where is your job?
Outdoors = 4; Mixed = 3; Indoors = 2
|
___ |
|
Has anyone in your family had skin cancer?
Yes = 5; No = 1
|
___ |
|
Where in the United States did you live most before the age of 18?
South = 4; Midwest = 3; North = 2
|