Cumulative UV Exposure Score Calculator

Instructions

This is a live demonstration of the questionnaire instrument and cumulative ultraviolet exposure score (CUES) calculation methodology for Zhu et al. 2015. This demonstration version of the questionnaire was modified so that no data is collected or stored, but is otherwise a exact reproduction of the instrument described in the accompanying manuscript. A CUES (rounded to the nearest 1,000 units for ease of viewing) will be calculated from the entered data once the user hits "Submit" (unrounded data were used for data analysis in the manuscript). This questionnaire was studied for individuals aged 18 - 81 living for no more than 1 year outside of the United States.

Please visit our up-to-date GitHub repository at http://www.github.com/gefeizhu/cues-study for updated versions of this questionnaire.

Questions

1. What is your age?

years old.

2. How would you rate your skin type - do you burn or tan in the sun?

Type I - Always burns, never tans (pale white skin)
Type II - Burns easily, tans minimally (white skin)
Type III - Burns moderately, tans uniformly (light brown skin)
Type IV - Burns minimally, tans well (moderate brown skin)
Type V - Rarely burns, tans profusely (dark brown skin)
Type VI - Never burns (deeply pigmented dark brown to black skin)

3. Has one or more of your parents, siblings, or children ever been diagnosed with skin cancer? (Skip to question #5 if the answer is 'No'.)

Yes
No

4. What type of skin cancer was he/she diagnosed with? You may select more than one.

5. Have you ever been diagnosed with a skin cancer? (Skip to question #8 if the answer is 'No'.)

Yes
No

6. How old were you when you had your first skin cancer?

years old.

7. When you had your first skin cancer, what type was it?

8. How many times have you used a tanning bed in your life?

9. How many blistering sunburns have you had in your lifetime?

0
1 - 5
6 - 10
greater than 10

10. When you are outdoors in the sun, how often do you use sunscreen?

11. For the following questions, think about what you do when you are outside during the summer on a warm sunny day.

	Never	Rarely	Sometimes	Often	Always
How often do you wear a shirt with sleeves that cover your shoulders?
How often do you wear a hat?
How often do you stay in the shade or under an umbrella?

12. After you were diagnosed with skin cancer, how many times did you use a tanning bed?

13. After you were diagnosed with skin cancer, how many blistering sunburns did you have?

0
1 - 5
6 - 10
greater than 10

14. After you were diagnosed with skin cancer, how often did you use sunscreen when you were outside?

15. After you were diagnosed with skin cancer, how often do you do the following when you are outside during the summer on a warm sunny day?

	Never	Rarely	Sometimes	Often	Always
How often do you wear a shirt with sleeves that cover your shoulders?
How often do you wear a hat?
How often do you stay in the shade or under an umbrella?

Estimated Outdoor Exposure Time

Please fill in the hours you spent outdoors between 10 AM and 4 PM per day. As you fill in the hours of exposure, a blue shading effect will be applied to the timeline below to the corresponding epoch. Fill in this section completely before moving on to the next section, as you will not be able to change your responses once you start entering your locations of residence in the next section.

Location	Age Range	Weekdays (Hrs/Day)	Weekends (Hrs/Day)

Exposure Location Data

Fill in the places you have primarily lived in and what age you lived there. More spaces will appear as you enter the first three lines. Your location responses will automatically appear next to the corresponding age ranges in the above table for your convenience.

Location	Starting Age	Ending Age

Feedback

Do you have any feedback about the survey?

Submit

Interpreting the CUES

Your personalized CUES will appear here once you complete the questionnaire and click "Submit."

Table 1. How your CUES compares to individuals in the study. *The CUES reported in this table have been rounded to the nearest thousand.

Your CUES*	How Your CUES Compares to Individuals in the Study
<205,000 units	Below median score for those without history of skin cancer
205,001-242,000 units	Above median score for those without history of skin cancer and below the median score for those with skin cancer
>242,001 units	Above median score for those with skin cancer

References

Glanz K, Mccarty F, Nehl EJ, et al. Validity of self-reported sunscreen use by parents, children, and lifeguards. Am J Prev Med. 2009;36(1):63-9.
Glanz K, Yaroch AL, Dancel M, et al. Measures of sun exposure and sun protection practices for behavioral and epidemiologic research. Arch Dermatol. 2008;144(2):217-22.