1 eSurvey1: Pre/Post Questionnaire
eSurvey1: Pre/Post Questionnaire For the following questions, please circle the answer you believe is most correct:
1. As a transplant patient, my risk for developing skin cancer is at least ___ greater than the general population:
a. 3-4x b. 10x c. 20x d. 65x
2. I am at greatest risk for developing the following type of skin cancer (the most common type of skin cancer):
a. Basal cell carcinoma b. Squamous cell carcinoma c. Melanoma
d. Lymphoma
3. I will, on average, develop my first skin cancer within ___ years of receiving my transplant:
a. 1-2 b. 5-7 c. 10-15 d. > 20 years
4. I should re-apply sunscreen every ___ hour(s) at a minimum, and more frequently if sweating or in water:
a. Half hour b. 2
c. 5 d. never
5. As a transplant patient, I need to have regular skin exams performed by a dermatologist at least every ___ months, even if I have no history of skin cancers:
a. 1-2 months
b. 6-12 months (1 year) c. 24 months (2 years) d. 3 years
6. There is up to a ____ percent chance of my skin cancers being cured with early detection:
a. 40-45%
2 b. 60-65%
c. 90 – 95 % d. 100%
7. All of the following are the most common types of skin cancers in the transplant population except for:
a. Melanoma
b. Basal Cell Carcinoma c. Squamous Cell Carcinoma d. Normal Mole
For the next 3 questions, match the following pictures to the correct skin cancer:
A. Basal cell carcinoma B. Squamous cell carcinoma C. Normal mole
D. Actinic keratosis E. Melanoma 8.
9.
3
10.
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