Merkel Cell Carcinoma Awareness & Environmental Action Post-Workshop Survey 2025

Instructions: Complete this before the workshop.

Estimated time: 3–5 minutes.

Date of workshop:

Date of survey:

Section A - Demographics

Which of the following are known or possible risk factors for skin cancer? (select all that apply)

Merkel cell carcinoma is typically less aggressive than melanoma.

True

False

Unsure

Sunscreen is the only effective protection against skin cancer.

True

False

Unsure

Have you avoided using sunscreen in the past year because of concerns about chemicals (e.g.,benzene)?

Yes

No

How often do you visit a dermatologist or health professional for skin checks?

Have you participated in a community cleanup(beach, park, roadside) in the past month?

Yes

No

Since the workshop, have you changed any of the following behaviors? (select all that apply)

I perform self skin checks more often

I scheduled/attended a professional skin check

I use sunscreen more often

I chose different sunscreen products

I participated in a cleanup

I changed disposal habits for litter

None

Which part of the workshop was most helpful?

Any suggestions to improve future workshops?

If you’d like a follow‑up reminder for skin checks or cleanup events, provide email