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Discovering the causes of cancer and the means of prevention

Residential History - Melanoma Study Questionnaire

The following questionnaire segment contains questions that have been used as part of DCEG or other epidemiologic studies. This segment has not necessarily been reviewed or analyzed by the Technical Evaluation Committee. Please view it as a starting point that can be adapted or improved upon as appropriate. Learn more about DCEG Questionnaire Development Resources.

Questionnaire Topic: 

Residential History 

Study Title: 

Melanoma -- Case-Control Study 



Principal Investigator(s): 

M. Tucker 

Type of Questionnaire: 

In-person Interview 

Last Year of Data Collection: 


Short/Long Form: 

Short Form 



Download Residential_History_Melanoma_questionnaire (Word, 16 KB)

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Learn more about DCEG Questionnaire Development Resources