Sun Safety Survey Form
Help us understand your sun safety habits and awareness. Your responses will remain confidential and are valuable for promoting sun safety.
What is your age group?
*
Please Select
Under 18
18-24
25-34
35-44
45-54
55-64
65 or older
What is your gender?
Female
Male
Non-binary/Other
Prefer not to say
How often do you spend time outdoors during peak sun hours (10am–4pm)?
*
Rarely/Never
Occasionally
A few times a week
Almost daily
How often do you use sunscreen when outdoors?
*
Always
Often
Sometimes
Rarely
Never
What is the minimum SPF you typically use?
*
I do not use sunscreen
SPF 15 or lower
SPF 16–29
SPF 30–49
SPF 50 or higher
Which of the following sun protection methods do you regularly use? (Select all that apply)
*
Wear a wide-brimmed hat
Wear sunglasses
Wear long-sleeved clothing
Seek shade
Avoid peak sun hours
Use sunscreen
None of the above
How confident are you in your knowledge of sun safety?
*
Not confident
1
2
3
4
Very confident
5
1 is Not confident, 5 is Very confident
Please indicate your agreement with the following statements about sun safety.
*
Rows
Strongly Disagree
Disagree
Neutral
Agree
Strongly Agree
Sun exposure increases the risk of skin cancer.
1
2
3
4
5
Wearing sunscreen is important for everyone.
6
7
8
9
10
Tanning beds are a safe alternative to sunbathing.
11
12
13
14
15
Children need more sun protection than adults.
16
17
18
19
20
Have you ever experienced sunburn?
*
Yes, frequently
Yes, occasionally
Rarely
Never
What motivates you most to practice sun safety? (Select the most important reason)
Preventing skin cancer
Avoiding sunburn
Preventing premature aging
Comfort/avoiding discomfort
Other
Do you have any additional comments or suggestions regarding sun safety?
Submit Survey
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