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Apex Dermatology & Skin Surgery Center – Cleveland, OH Dermatology
Apex Dermatology & Skin Surgery Center serves the greater Cleveland area with offices in Concord, Solon, Mayfield Heights, Parma and Hudson Cleveland, OH. Call today!
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(833) 279-SKIN
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Locations
Ashtabula, OH
Concord, OH
Hudson, OH
Mayfield Heights, OH
Medina, OH
Parma, OH
Solon, OH
Westlake, OH
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Online Skin Cancer Risk Assessment
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Online Skin Cancer Risk Assessment
Take our Online Skin Cancer Risk Assessment Quiz
Step 1 of 6
16%
Name
*
First
Last
Email
*
Consent
*
I agree to the privacy policy.
Age
*
Under 24
25-34
35 - 44
45 - 54
55+
Skin Type
*
Fair/Pale
Olive/Light Brown
Brown/Dark Brown
Has anyone in your immediate family ever been diagnosed with melanoma?
*
Yes
No
Have you ever been diagnosed with melanoma?
*
Yes
No
Have you ever been diagnosed with a form of basel cell cancer, squamous cell cancer or any other form of skin cancer other than melanoma?
*
Yes
No
Have you ever received a kidney, liver or heart transplant?
*
Yes
No
Have you ever been diagnosed with Lymphoma?
*
Yes
No
Do you take any immunosuppressant medications to treat a medical condition?
*
Yes
No
Have you ever had exposure to radiation, such as a radiation treatment for cancer?
*
Yes
No
Have you ever gone indoor tanning?
*
Yes
No
How many times in your life have you had a blistering sunburn?
*
Never
5 times or less
6 - 19 times
20+ times
Has a doctor ever removed a mole from your skin that wasn't cancerous?
*
Yes
No
How often do you wear sunscreen?
*
Every day, all year long, rain or shine
Only when outside on a sunny day
Rarely or never
How often are you outside for your job, sport or hobby?
*
Less than 5 hours / week
Between 5 - 15 hours/ week
15+ hours / week
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(833) 279-SKIN
